Provider Demographics
NPI:1699088872
Name:GELFER, CAROLE (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:
Last Name:GELFER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WISHING WELL RD
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1311
Mailing Address - Country:US
Mailing Address - Phone:201-848-1632
Mailing Address - Fax:201-848-1672
Practice Address - Street 1:601 WISHING WELL RD
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1311
Practice Address - Country:US
Practice Address - Phone:201-848-1632
Practice Address - Fax:201-848-1672
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00336400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist