Individual
MRS. CAROL ANN LANTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
156 ORCHARD ST, ROCHESTER, NY 14611-1357
(585) 671-1628
Mailing address
1251 FIVE MILE LINE RD, WEBSTER, NY 14580-2545
(585) 671-1628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007762-1
NY
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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