Provider Demographics
NPI:1366812620
Name:PASSINO, KAREN WILHELM (MS SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:WILHELM
Last Name:PASSINO
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:PASSINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 SABRE DR
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-1005
Mailing Address - Country:US
Mailing Address - Phone:518-355-6255
Mailing Address - Fax:
Practice Address - Street 1:2 SABRE DR
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-1005
Practice Address - Country:US
Practice Address - Phone:518-355-6255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58012846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist