Provider Demographics
NPI:1861645806
Name:CARISEO, CLAIRE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:
Last Name:CARISEO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4673 BAMERICK RD
Mailing Address - Street 2:
Mailing Address - City:JAMESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13078-9525
Mailing Address - Country:US
Mailing Address - Phone:315-498-9887
Mailing Address - Fax:
Practice Address - Street 1:4673 BAMERICK RD
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-9525
Practice Address - Country:US
Practice Address - Phone:315-498-9887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist