Provider Demographics
NPI:1750849279
Name:CALLENDER, FLORENCE E (SLP/CCC)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:E
Last Name:CALLENDER
Suffix:
Gender:F
Credentials:SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2539
Mailing Address - Country:US
Mailing Address - Phone:516-209-7347
Mailing Address - Fax:
Practice Address - Street 1:2013 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2539
Practice Address - Country:US
Practice Address - Phone:516-209-7347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist