Provider Demographics
NPI:1699981621
Name:STRAW, KAREN (MA-SLP-CCC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:STRAW
Suffix:
Gender:F
Credentials:MA-SLP-CCC
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 232
Mailing Address - Street 2:
Mailing Address - City:TOQUERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84774-0232
Mailing Address - Country:US
Mailing Address - Phone:435-268-2313
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 232
Practice Address - Street 2:
Practice Address - City:TOQUERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84774-0232
Practice Address - Country:US
Practice Address - Phone:435-268-2313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6567044-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist