Doctor Name: | MRS. KAREN SHORTLIDGE VADNER |
NPI Number: | 1275866113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SL005767L |
Business Practice Address: | 3975 Conshohocken Ave Philadelphia, PA - 191315426 |
Business Phone Number: | 2672926012 |
Business Fax Number: | 2158798424 |
Mailing Address: | 2946 Normandy Rd, ARDMORE |
State: | PA |
Postal Code: | 190031810 |
Phone Number: | 6106450959 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005767L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |