Provider Demographics
NPI:1821985615
Name:TOLERICO, CLARE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:TOLERICO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 N MOORE ST APT 24J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2734
Mailing Address - Country:US
Mailing Address - Phone:201-230-1095
Mailing Address - Fax:
Practice Address - Street 1:80 N MOORE ST APT 24J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2734
Practice Address - Country:US
Practice Address - Phone:201-230-1095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034659235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist