Provider Demographics
NPI:1508118241
Name:SCHALMONT MIDDLE SCHOOL
Entity Type:Organization
Organization Name:SCHALMONT MIDDLE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PASSINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS SLP
Authorized Official - Phone:518-355-6255
Mailing Address - Street 1:2 SABRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306
Mailing Address - Country:US
Mailing Address - Phone:518-355-6255
Mailing Address - Fax:518-355-5309
Practice Address - Street 1:2 SABRE DR
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-1005
Practice Address - Country:US
Practice Address - Phone:518-355-6255
Practice Address - Fax:518-355-5309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58012846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty