Doctor Name: | CAROLINE LOUISE ERNECOFF |
NPI Number: | 1760717201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, SLP-CCC, TSSLD |
License Number: | 019126-1 |
Business Practice Address: | 589 Spruce Ave Sayville, NY - 117823322 |
Business Phone Number: | 6315671609 |
Business Fax Number: | |
Mailing Address: | 589 Spruce Ave, SAYVILLE |
State: | NY |
Postal Code: | 11782 |
Phone Number: | 6315671609 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2009 |
NPI Last Update Date: | 10/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 019126-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |