Provider Demographics
NPI:1558606913
Name:HERRING, CARYN GAIL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CARYN
Middle Name:GAIL
Last Name:HERRING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 UNION AVE
Mailing Address - Street 2:APT 6Q
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-1762
Mailing Address - Country:US
Mailing Address - Phone:215-901-1480
Mailing Address - Fax:
Practice Address - Street 1:568 UNION AVE
Practice Address - Street 2:APT 6Q
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-1762
Practice Address - Country:US
Practice Address - Phone:215-901-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist