Provider Demographics
NPI:1083984389
Name:LAJEUNESSE, KAREN L (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:LAJEUNESSE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12085-0018
Mailing Address - Country:US
Mailing Address - Phone:518-456-6200
Mailing Address - Fax:518-456-1152
Practice Address - Street 1:117 GRAND ST
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009
Practice Address - Country:US
Practice Address - Phone:518-861-8528
Practice Address - Fax:518-861-5189
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007632-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist