Provider Demographics
NPI:1780822437
Name:O'HARE, MONIQUE HALLINAN
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:HALLINAN
Last Name:O'HARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2144
Mailing Address - Country:US
Mailing Address - Phone:914-738-3434
Mailing Address - Fax:
Practice Address - Street 1:18 FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2144
Practice Address - Country:US
Practice Address - Phone:914-738-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011230-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist