Doctor Name: | MRS. KAREN BLANE |
NPI Number: | 1083918395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.C.C.-SLP |
License Number: | 005065-1 |
Business Practice Address: | 3192 Judith Dr Bellmore, NY - 117105409 |
Business Phone Number: | 5167811308 |
Business Fax Number: | 5168263789 |
Mailing Address: | 3192 Judith Dr, BELLMORE |
State: | NY |
Postal Code: | 117105409 |
Phone Number: | 5167811308 |
Fax Number: | 5168263789 |
NPI Enumeration Date: | 12/29/2010 |
NPI Last Update Date: | 12/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 005065-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |