MEDICARE: MRS. KAREN SUE REISCHKE MA CCC-SLP/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SL005599L	PA

General Provider Information

NPI Number	:	1982727301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN SUE REISCHKE MA CCC-SLP/L

Provider Business Mailing Address
First Line	:	201 FREDERICK AVE
Second Line	:
City	:	MARMORA
State	:	NJ
Zip	:	08223-1906
Country	:	US
Telephone Number	:	610-639-6782
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	199 NEW RD STE 38
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-2025
Country	:	US
Telephone Number	:	609-703-6741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	01/19/2019

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Directions to “ MRS. KAREN SUE REISCHKE MA CCC-SLP/L” Practice Location

Language	Start Address	Practice Location

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