Provider Demographics
NPI:1932703857
Name:D'EMIC, CAROLINE FRANCES (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:FRANCES
Last Name:D'EMIC
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 1:150 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4916
Mailing Address - Country:US
Mailing Address - Phone:347-263-3874
Mailing Address - Fax:
Practice Address - Street 1:1171 65TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5634
Practice Address - Country:US
Practice Address - Phone:347-263-7702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist