Provider Demographics
NPI:1841840691
Name:MENSCHING, CONNOR DAVY (CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:CONNOR
Middle Name:DAVY
Last Name:MENSCHING
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 FULTON ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3464
Mailing Address - Country:US
Mailing Address - Phone:516-413-7034
Mailing Address - Fax:
Practice Address - Street 1:1035 FULTON ST APT 5E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3464
Practice Address - Country:US
Practice Address - Phone:516-413-7034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025785-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist