Provider Demographics
NPI:1861536765
Name:DAPOLITO, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:DAPOLITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 LINDEN CIR
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2860
Mailing Address - Country:US
Mailing Address - Phone:302-540-8694
Mailing Address - Fax:
Practice Address - Street 1:650 LINDEN CIR
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2860
Practice Address - Country:US
Practice Address - Phone:302-540-8694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0000553235Z00000X
CO0005693235Z00000X
NCSL017305235Z00000X
PASL017305235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist