Provider Demographics
NPI:1851588123
Name:FARKAS, AUDREY SHARON (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:SHARON
Last Name:FARKAS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:MELASKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2222 SULLIVAN TRAIL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:2929 W HOLCOMBE BLVD.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1534
Practice Address - Country:US
Practice Address - Phone:713-662-0413
Practice Address - Fax:713-662-0413
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11697235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist