Provider Demographics
NPI:1427182526
Name:KAUFMAN, CAROL M (EDD, CCCSLP)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:M
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:EDD, CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 CORNFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-6907
Mailing Address - Country:US
Mailing Address - Phone:203-878-0754
Mailing Address - Fax:
Practice Address - Street 1:152 CORNFLOWER DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-6907
Practice Address - Country:US
Practice Address - Phone:203-878-0754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000424235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist