Provider Demographics
NPI:1780497941
Name:RICHTER, KAREN ELISE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ELISE
Last Name:RICHTER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ELISE
Other - Last Name:ROGALIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:428 RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2737
Mailing Address - Country:US
Mailing Address - Phone:516-410-3982
Mailing Address - Fax:
Practice Address - Street 1:21 EVERETT DR
Practice Address - Street 2:
Practice Address - City:YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11980-9633
Practice Address - Country:US
Practice Address - Phone:631-345-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035116235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist