Provider Demographics
NPI:1780837146
Name:WARREN, FRANCINE MARCIA
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:MARCIA
Last Name:WARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FRANCINE
Other - Middle Name:MARCIA
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:304 6TH ST
Mailing Address - Street 2:APT.#1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3206
Mailing Address - Country:US
Mailing Address - Phone:718-499-7257
Mailing Address - Fax:718-499-7257
Practice Address - Street 1:304 6TH ST
Practice Address - Street 2:APT. #1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3206
Practice Address - Country:US
Practice Address - Phone:718-499-7257
Practice Address - Fax:718-499-7257
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004216235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist