Provider Demographics
NPI:1194010231
Name:SZALA, CAROLYN (LCAT)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:SZALA
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CUMMINGS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-1401
Mailing Address - Country:US
Mailing Address - Phone:914-761-8719
Mailing Address - Fax:
Practice Address - Street 1:1 CUMMINGS AVE
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-1401
Practice Address - Country:US
Practice Address - Phone:914-761-8719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05000586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health