Provider Demographics
NPI:1275376105
Name:VAILE, KAREN A (SLP, CCC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:VAILE
Suffix:
Gender:F
Credentials:SLP, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 E BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2366
Mailing Address - Country:US
Mailing Address - Phone:610-388-5013
Mailing Address - Fax:484-259-0220
Practice Address - Street 1:1109 E BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2366
Practice Address - Country:US
Practice Address - Phone:610-388-5013
Practice Address - Fax:484-259-0220
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003364L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist