Provider Demographics
NPI:1982054961
Name:VERCOE, KARYN
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:
Last Name:VERCOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:GIGL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:442 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3544
Mailing Address - Country:US
Mailing Address - Phone:908-461-9066
Mailing Address - Fax:
Practice Address - Street 1:280 MIDDLE HOLLAND RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-4822
Practice Address - Country:US
Practice Address - Phone:215-322-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013001235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist