Lauren Grace Carr

Individual provider Active NPI Speech-Language Pathologist · Fonda, NY

NPI 1760296149 · NPPES record last updated Feb 5, 2025

Key facts

NPI
1760296149
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
112 Old Johnstown Rd
PO Box 1051
Fonda, NY 12068
Phone
(518) 853-3332
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

112 Old Johnstown Rd
PO Box 1051
Fonda, NY 12068

Mailing address

2 Catalina Dr
Glenville, NY 12302-9736
Phone (518) 894-6497

Other providers in Fonda, NY

All providers in Fonda, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.