Provider Demographics
NPI:1396808697
Name:CAROZZA, LINDA SUSAN (PHD CCCSLP)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SUSAN
Last Name:CAROZZA
Suffix:
Gender:F
Credentials:PHD CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 HILLWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-876-7122
Mailing Address - Fax:718-876-7122
Practice Address - Street 1:29 HILLWOOD COURT
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-876-7122
Practice Address - Fax:718-876-7122
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0001371235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist