Individual
KAREN WADDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7017 ALBERT PICK RD STE D, GREENSBORO, NC 27409-9534
(336) 209-4799
Mailing address
6173 GLEN WAY DR, WINSTON SALEM, NC 27107-3786
(978) 460-1543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001686
NC
235Z00000X
Speech-Language Pathologist
SLP5142
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598168346
—
NC
Enumeration date
04/25/2024
Last updated
02/28/2026
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