Karen Virginia Freudendorf, M.S.,CCC/LSP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005621-1 Issued in NY

Practice address

4 Jerusalem Hollow Rd
Manorville, NY 11949-3122

Phone

(631) 878-9561

Fax

(631) 878-9561

NPI assigned

Aug 29, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1326328857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JERUSALEM HOLLOW RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493122",
            "telephone_number": "631-878-9561",
            "fax_number": "631-878-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JERUSALEM HOLLOW RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493122",
            "telephone_number": "631-878-9561",
            "fax_number": "631-878-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENDORF",
        "first_name": "KAREN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC/LSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005621-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pietrina Fischetti
• Janice Fitzgibbon, LPN
• Denise Fleming
• Sheila Marie Forstell, RN
• Lori M. Franchi, LCSW
• Theresa Fucigna, LCSW
• Alexandra Galiano-Presti
• Christine Lynn Gallagher
• Christopher Michael Gallagher, PT
• Karen Gallagher, OTR/L

• Speech-Language Pathologist in Manorville, NY
• Providers in Manorville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.