Provider Demographics
NPI:1275840118
Name:CARTER, DOMENICA DEVINCENTIS (TSHH)
Entity Type:Individual
Prefix:MRS
First Name:DOMENICA
Middle Name:DEVINCENTIS
Last Name:CARTER
Suffix:
Gender:F
Credentials:TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-3617
Mailing Address - Country:US
Mailing Address - Phone:607-762-8270
Mailing Address - Fax:607-762-8394
Practice Address - Street 1:30 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-3617
Practice Address - Country:US
Practice Address - Phone:607-762-8270
Practice Address - Fax:607-762-8394
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist