Provider Demographics
NPI:1124291984
Name:PAZDERA, KAREN RAMSAY (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:RAMSAY
Last Name:PAZDERA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 PITTSFORD WAY
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2433
Mailing Address - Country:US
Mailing Address - Phone:908-577-6677
Mailing Address - Fax:
Practice Address - Street 1:30 EAST LN
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-3243
Practice Address - Country:US
Practice Address - Phone:973-379-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00325500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist