Provider Demographics
NPI:1437534484
Name:KABAKI, KAREN ANDREA (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANDREA
Last Name:KABAKI
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 1:138 RIVERWALK WAY
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07014-1729
Mailing Address - Country:US
Mailing Address - Phone:973-930-7362
Mailing Address - Fax:
Practice Address - Street 1:138 RIVERWALK WAY
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07014-1729
Practice Address - Country:US
Practice Address - Phone:973-930-7362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010982-1235Z00000X
NJYS03611235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist