Provider Demographics
NPI:1447566229
Name:FURMAN, KATHLEEN LYNNE (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:LYNNE
Last Name:FURMAN
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UTICA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1554
Mailing Address - Country:US
Mailing Address - Phone:315-404-2386
Mailing Address - Fax:
Practice Address - Street 1:2630 REMINGTON RD
Practice Address - Street 2:HUGH R. JONES ELEMENTARY SCHOOL
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-6313
Practice Address - Country:US
Practice Address - Phone:315-792-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist