Provider Demographics
NPI:1790265304
Name:HARTY, CAROLINE N
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:N
Last Name:HARTY
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 1:9195 RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3743
Mailing Address - Country:US
Mailing Address - Phone:513-328-2463
Mailing Address - Fax:
Practice Address - Street 1:4700 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1606
Practice Address - Country:US
Practice Address - Phone:513-868-3021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist