Provider Demographics
NPI:1033422704
Name:YAGER, KAREN (SPEECH/LANGUAGE THER)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:YAGER
Suffix:
Gender:F
Credentials:SPEECH/LANGUAGE THER
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:GUTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPEECH/LANGUAGE THER
Mailing Address - Street 1:901 CEDARHURST ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2716
Mailing Address - Country:US
Mailing Address - Phone:516-791-7908
Mailing Address - Fax:
Practice Address - Street 1:901 CEDARHURST ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2716
Practice Address - Country:US
Practice Address - Phone:516-791-7908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042611841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist