Provider Demographics
NPI:1851386528
Name:WOOLAWAY, KAREN L (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:WOOLAWAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:116 S ELMER AVE
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840
Practice Address - Country:US
Practice Address - Phone:570-887-2849
Practice Address - Fax:570-887-2244
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2018-09-27
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
NY001293-1231H00000X
PAAT005935231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO10001293OtherBLUE MILLION
NY000576048002OtherBLUE CROSS BLUE SHEILD GM
NY000576048006OtherCOMMUNITY BLUE
NY0010490OtherGROUP HEALTH INC. GHI
NY103209AIOtherPREFERRED CARE
NY000576048007OtherBLUE CROSS BLUE SHIELD WE
NY9390234OtherINDEPENDENT HEALTH
NYPO1001293OtherBC/BS ROCH HE SERVICES
NY0010490OtherGROUP HEALTH INC. GHI