Provider Demographics
NPI:1881857548
Name:MANLEY, KAREN LEE (CCC-A)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEE
Last Name:MANLEY
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:MANLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-A
Mailing Address - Street 1:33 LONGLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1943
Mailing Address - Country:US
Mailing Address - Phone:914-935-9898
Mailing Address - Fax:
Practice Address - Street 1:33 LONGLEDGE DR
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1943
Practice Address - Country:US
Practice Address - Phone:914-935-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002069-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist