Provider Demographics
NPI:1992948657
Name:COBBS, KAREN D (MED, CCC/SLP, PHD)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:D
Last Name:COBBS
Suffix:
Gender:F
Credentials:MED, CCC/SLP, PHD
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Other - First Name:
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Mailing Address - Street 1:135 HUNTING RIDGE RD # PD
Mailing Address - Street 2:APT. 706
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-4126
Mailing Address - Country:US
Mailing Address - Phone:252-535-4210
Mailing Address - Fax:252-535-4210
Practice Address - Street 1:135 HUNTING RIDGE RD # PD
Practice Address - Street 2:APT. 706
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-4126
Practice Address - Country:US
Practice Address - Phone:252-535-4210
Practice Address - Fax:252-535-4210
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6526235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist