Provider Demographics
NPI:1225314958
Name:WEXLER, KARIN B (PHD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:B
Last Name:WEXLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W 120TH ST
Mailing Address - Street 2:BOX 191, MY 101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6605
Mailing Address - Country:US
Mailing Address - Phone:914-287-6494
Mailing Address - Fax:914-287-6495
Practice Address - Street 1:525 W 120TH ST
Practice Address - Street 2:BOX 191, MY 101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6605
Practice Address - Country:US
Practice Address - Phone:914-287-6494
Practice Address - Fax:914-287-6495
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY753-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist