Provider Demographics
NPI:1871261032
Name:MONROE, KARA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MONROE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15731 PILGRIM HALL DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2956
Mailing Address - Country:US
Mailing Address - Phone:832-512-0445
Mailing Address - Fax:
Practice Address - Street 1:5810 BROOKSIDE RD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7216
Practice Address - Country:US
Practice Address - Phone:281-412-1445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist