Provider Demographics
NPI:1720366685
Name:ENGLARD, LEMOR C (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEMOR
Middle Name:C
Last Name:ENGLARD
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:LEMOR
Other - Middle Name:
Other - Last Name:FRANKEL-ENGLARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:218 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2515
Mailing Address - Country:US
Mailing Address - Phone:516-578-3384
Mailing Address - Fax:
Practice Address - Street 1:218 WOODSIDE DR
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2515
Practice Address - Country:US
Practice Address - Phone:516-578-3384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010756-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist