Provider Demographics
NPI:1831363290
Name:MCPHEE, KAREN M (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:MCPHEE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6420
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507-6420
Mailing Address - Country:US
Mailing Address - Phone:360-870-0291
Mailing Address - Fax:360-438-1244
Practice Address - Street 1:3525 ENSIGN RD NE STE M1
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506
Practice Address - Country:US
Practice Address - Phone:360-870-0291
Practice Address - Fax:360-438-1244
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00004211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist