Provider Demographics
NPI:1285775486
Name:LEMONS, CAROL HARROW (MSCCC SLP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:HARROW
Last Name:LEMONS
Suffix:
Gender:F
Credentials:MSCCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 BRYN MAWR RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3509
Mailing Address - Country:US
Mailing Address - Phone:516-294-1343
Mailing Address - Fax:
Practice Address - Street 1:340 BRYN MAWR RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3509
Practice Address - Country:US
Practice Address - Phone:516-294-1343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0017421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist