Provider Demographics
NPI:1548414683
Name:FISCHMANN, CAROLYN JOY (MA, SPEC ED/MS, CCC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:JOY
Last Name:FISCHMANN
Suffix:
Gender:F
Credentials:MA, SPEC ED/MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 MCMANUS ROAD SOUTH
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:NY
Mailing Address - Zip Code:12563
Mailing Address - Country:US
Mailing Address - Phone:914-673-8150
Mailing Address - Fax:845-878-3318
Practice Address - Street 1:85 MCMANUS ROAD SOUTH
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:NY
Practice Address - Zip Code:12563
Practice Address - Country:US
Practice Address - Phone:914-673-8150
Practice Address - Fax:845-878-3318
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009244-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist