Provider Demographics
NPI:1215330303
Name:WEBER, KAREE L (MA CCC-S)
Entity type:Individual
Prefix:
First Name:KAREE
Middle Name:L
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA CCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15000 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2017
Mailing Address - Country:US
Mailing Address - Phone:408-356-7603
Mailing Address - Fax:
Practice Address - Street 1:15000 LOS GATOS BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2017
Practice Address - Country:US
Practice Address - Phone:408-356-7603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8011235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist