Individual
MRS. CAROL LORI CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
1 SOUTH AVE, GARDEN CITY, NY 11530-4213
(516) 877-4850
Mailing address
2436 KNOB HILL RD, NORTH BELLMORE, NY 11710-2117
(516) 783-1006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008435-1
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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