Doctor Name: | KAREN CHENAUSKY |
NPI Number: | 1063540201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CFSLP |
License Number: | 12025023 |
Business Practice Address: | 124 Watertown St Watertown, MA - 024722576 |
Business Phone Number: | 6179234410 |
Business Fax Number: | 6179230468 |
Mailing Address: | 40 Cottage St, WATERTOWN |
State: | MA |
Postal Code: | 024721566 |
Phone Number: | 6175478289 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12025023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |