Individual
MRS. CAROLYN MARIE MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC, SLP
Contact information
Practice address
139 STATE STREET RD, CANTON, NY 13617-3504
(315) 386-4504
Mailing address
PO BOX 231, CANTON, NY 13617-0231
(315) 386-4504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006399-1
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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