Provider Demographics
NPI:1295961522
Name:FRANCIS, ARLENE (SLP)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 CAMP HILL RD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3201
Mailing Address - Country:US
Mailing Address - Phone:845-290-0354
Mailing Address - Fax:
Practice Address - Street 1:69 CAMP HILL RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3201
Practice Address - Country:US
Practice Address - Phone:845-290-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013900-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist