Provider Demographics
NPI:1821173360
Name:SCHOFIELD, CAROLYN KATE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:KATE
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4063 RETSOF RD
Mailing Address - Street 2:
Mailing Address - City:PIFFARD
Mailing Address - State:NY
Mailing Address - Zip Code:14533-9767
Mailing Address - Country:US
Mailing Address - Phone:585-245-9726
Mailing Address - Fax:
Practice Address - Street 1:TELEMEDICINE SERVICES
Practice Address - Street 2:4063 RETSOF RD
Practice Address - City:PIFFARD
Practice Address - State:NY
Practice Address - Zip Code:14533-1453
Practice Address - Country:US
Practice Address - Phone:585-447-0453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0108391235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist