Provider Demographics
NPI:1184859092
Name:REINHARDT, CAREN BERNADETTE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:BERNADETTE
Last Name:REINHARDT
Suffix:
Gender:F
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 1:65 NOBLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:POUGHQUAG
Mailing Address - State:NY
Mailing Address - Zip Code:12570-5036
Mailing Address - Country:US
Mailing Address - Phone:845-724-4518
Mailing Address - Fax:
Practice Address - Street 1:222 SEVEN BRIDGES ROAD
Practice Address - Street 2:SEVEN BRIDGES MIDDLE SCHOOL
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514
Practice Address - Country:US
Practice Address - Phone:914-666-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011782-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist