Provider Demographics
NPI:1730314733
Name:ELMI, CAROLYN THERESE (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:THERESE
Last Name:ELMI
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 W 86TH ST
Mailing Address - Street 2:APT. 501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3613
Mailing Address - Country:US
Mailing Address - Phone:703-328-7611
Mailing Address - Fax:
Practice Address - Street 1:51 W 86TH ST
Practice Address - Street 2:APT. 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3613
Practice Address - Country:US
Practice Address - Phone:703-328-7611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015171-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist