Individual
CAROLYN W EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 E RAYNOR AVE, DR. MARTIN LUTHER KING SCHOOL, SYRACUSE, NY 13202-3951
(315) 435-6000
(315) 435-6207
Mailing address
220 W KENNEDY ST, SCSD PRE-KINDERGARTEN PROGRAM, SYRACUSE, NY 13205-1057
(315) 435-4276
(315) 435-6553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007800-1
NY
Other
Enumeration date
01/24/2009
Last updated
07/12/2010
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