Provider Demographics
NPI:1073713830
Name:ZAFRRANN, CARRIE LYNN
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:LYNN
Last Name:ZAFRRANN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:LYNN
Other - Last Name:MCNIECE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14469-9338
Mailing Address - Country:US
Mailing Address - Phone:585-657-4482
Mailing Address - Fax:
Practice Address - Street 1:131 DRUMLIN COURT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513
Practice Address - Country:US
Practice Address - Phone:315-332-7400
Practice Address - Fax:585-924-7049
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010314-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist