Provider Demographics
NPI:1245456425
Name:NACHIMSON, KAREN EVONNE (MA,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:EVONNE
Last Name:NACHIMSON
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:526 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-5204
Mailing Address - Country:US
Mailing Address - Phone:484-461-3362
Mailing Address - Fax:484-461-6106
Practice Address - Street 1:526 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-5204
Practice Address - Country:US
Practice Address - Phone:484-461-3362
Practice Address - Fax:484-461-6106
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004729L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist