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NPI Code Detail

MEDICARE: KAREN GREEN SLP-INTERN

MEDICARE: KAREN GREEN SLP-INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist114015TX

General Provider Information

NPI Number : 1700386216
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN GREEN SLP-INTERN
Provider Business Mailing Address
First Line : 9431 WINDY SPRING LN
Second Line :
City : HOUSTON
State : TX
Zip : 77089-2285
Country : US
Telephone Number : 832-541-4357
Fax Number :
Provider Business Practice Location Address
First Line : 9431 WINDY SPRING LN
Second Line :
City : HOUSTON
State : TX
Zip : 77089-2285
Country : US
Telephone Number : 832-541-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 02/20/2018

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Directions to “ KAREN GREEN SLP-INTERN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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