Doctor Name: | KAREN L RIESER |
NPI Number: | 1144456138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 41YS00401700 |
Business Practice Address: | 124 Ravenwood Blvd Barnegat, NJ - 080052041 |
Business Phone Number: | 9084215189 |
Business Fax Number: | 6094885168 |
Mailing Address: | 124 Ravenwood Blvd, BARNEGAT |
State: | NJ |
Postal Code: | 080052041 |
Phone Number: | 9084215189 |
Fax Number: | 6094885168 |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00401700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |