National Provider Identifier

Andrea C Dicarlo, CCC/SLP

Andrea C Dicarlo, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Farmington, NY and a listed phone number of (585) 742-3118.

NPI 1710282470Farmington, NYSpeech-Language Pathologist

Profile Overview

NPI
1710282470
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 11, 2011
Last Updated
January 11, 2011

Practice Location

  • 6170 Doe Haven Dr
  • Farmington, NY 14425-1153

Phone: (585) 742-3118

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1710282470
Entity Type
Individual
Last Name
Dicarlo
First Name
Andrea
Middle Name
C
Name Prefix
MS.
Credential
CCC/SLP
Mailing Street Address
6170 Doe Haven Dr
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-1153
Mailing Country
US
Mailing Phone
(585) 742-3118
Practice Street Address
6170 Doe Haven Dr
Practice City
Farmington
Practice State
NY
Practice ZIP Code
14425-1153
Practice Country
US
Practice Phone
(585) 742-3118
Enumeration Date
January 11, 2011
Last Updated
January 11, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
006980-1 (NY, Ny State License Speech Language Pathology)