Provider Demographics
NPI:1366695009
Name:LEONARD, CAROLYN FRANCES (SLP)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:FRANCES
Last Name:LEONARD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NOYES ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2924
Mailing Address - Country:US
Mailing Address - Phone:845-735-4848
Mailing Address - Fax:845-735-4848
Practice Address - Street 1:50 NOYES ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2924
Practice Address - Country:US
Practice Address - Phone:845-735-4848
Practice Address - Fax:845-735-4848
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007954235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist