Provider Demographics
NPI:1679744932
Name:NISENSON, KAREN HELEN (MM, MA,BCMT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:HELEN
Last Name:NISENSON
Suffix:
Gender:F
Credentials:MM, MA,BCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5323
Mailing Address - Country:US
Mailing Address - Phone:203-972-2982
Mailing Address - Fax:203-972-0534
Practice Address - Street 1:24 GROVE ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5323
Practice Address - Country:US
Practice Address - Phone:203-972-2982
Practice Address - Fax:203-972-0534
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist