Individual
CAROLYN GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
192 COLONIAL AVE, WILLISTON PARK, NY 11596-1046
(646) 853-0482
Mailing address
192 COLONIAL AVE, WILLISTON PARK, NY 11596-1046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013414-1
NY
Other
Enumeration date
05/31/2009
Last updated
04/07/2014
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