Active NPIIndividual provider

Ms. Karen Ehrlich Jackson, MS, CCC/SLP

Speech-Language Pathologist, in Spring Valley, New York

NPI Number1063799336
Practice location
105 S Madison Ave, Spring Valley, NY 10977-5474
Fax
—
Last updated
November 14, 2011

Karen Ehrlich Jackson is a Speech-Language Pathologist, based in Spring Valley, NY. Karen Ehrlich Jackson practices in Spring Valley, NY and has the professional credentials of MS, CCC/SLP. The NPI Number for Karen Ehrlich Jackson is 1063799336 and holds a License No. 002714 (NY). The current practice location address for Karen Ehrlich Jackson is 105 S Madison Ave, Spring Valley, NY 10977-5474 and can be reached out via phone at 845-577-6000.

Provider Profile Details

NPI Number
1063799336
Provider Name
Karen Ehrlich Jackson
Credential
MS, CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
105 S Madison Ave, Spring Valley, NY 10977-5474
Phone Number
845-577-6000
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2011
Last Update Date
November 14, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 S Madison Ave
Spring Valley, NY 10977-5474
Zip
10977-5474
Phone Number
845-577-6000
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
105 S Madison Ave
Spring Valley, NY 10977-5474
City
Spring Valley
State
NY
Zip
10977-5474
Phone Number
845-577-6000

License Information

License Number
002714
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Karen Ehrlich Jackson, MS, CCC/SLP?

The NPI number of Ms. Karen Ehrlich Jackson, MS, CCC/SLP is 1063799336. It was assigned on November 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Karen Ehrlich Jackson, MS, CCC/SLP?

Ms. Karen Ehrlich Jackson, MS, CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 002714.

Where does Ms. Karen Ehrlich Jackson, MS, CCC/SLP practice?

The practice location is 105 S Madison Ave, Spring Valley, NY 10977-5474. The office can be reached at 845-577-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063799336 directly on the NPPES registry website.

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