Provider Demographics
NPI:1942455381
Name:ARIAS, CARMEN A (BILINGUAL TSLD)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:A
Last Name:ARIAS
Suffix:
Gender:F
Credentials:BILINGUAL TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3139 GODWIN TER APT 4C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5463
Mailing Address - Country:US
Mailing Address - Phone:646-241-1427
Mailing Address - Fax:
Practice Address - Street 1:3139 GODWIN TER APT 4C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5463
Practice Address - Country:US
Practice Address - Phone:646-241-1427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist