Provider Demographics
NPI:1316504533
Name:GRATIEN, KAREN (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:GRATIEN
Suffix:
Gender:
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 RT 59
Mailing Address - Street 2:STE 12 PMB 1026
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901
Mailing Address - Country:US
Mailing Address - Phone:845-405-6048
Mailing Address - Fax:
Practice Address - Street 1:296 ROUTE 59 STE 12
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5322
Practice Address - Country:US
Practice Address - Phone:845-546-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist