Provider Demographics
NPI:1093258683
Name:SPIELMAN, KARIN (MS,CCC-SLP,TSSLD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:SPIELMAN
Suffix:
Gender:F
Credentials:MS,CCC-SLP,TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 DEKALB AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-2001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:990 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-2001
Practice Address - Country:US
Practice Address - Phone:718-574-7994
Practice Address - Fax:718-919-5304
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017407235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist