Provider Demographics
NPI:1003957085
Name:ZAIDMAN, KAREN (MS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:ZAIDMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21163 NE 18TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1542
Mailing Address - Country:US
Mailing Address - Phone:786-252-6670
Mailing Address - Fax:305-239-9004
Practice Address - Street 1:2020 NE 163RD ST STE 205
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4927
Practice Address - Country:US
Practice Address - Phone:786-252-6670
Practice Address - Fax:305-474-4962
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8651235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist