Karen Gerber O'Carroll
Individual provider Active NPI Speech-Language Pathologist · Diamond Point, NY
NPI 1780701607 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780701607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 012812-1 (NY)
- Practice address
- 4206 Lake Shore Dr
Diamond Point, NY 12824-1802 - Phone
- (518) 668-9255
- NPI assigned
- Mar 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012812-1 | NY | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012812-1 | NY | Yes |
Addresses
Primary practice location
4206 Lake Shore Dr
Diamond Point, NY 12824-1802
Mailing address
4206 Lake Shore Dr
Diamond Point, NY 12824-1802
Other providers in Diamond Point, NY
- Beth Ann Callahan
- Anna Amelise Dufford
- Heather Cassaday Esget
- Paula Danielle Higgins
- Northeasttelemedicine
- Janice K Pfau
All providers in Diamond Point, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.