Carrie Fagan

NPI #1669856274 in Plainview, New York

Provider Information

NPI Number
1669856274
Entity Type
Individual
Name
Carrie Fagan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 13, 2015
Last Updated
Jul 13, 2015

Practice Location

Address
255 EXECUTIVE DR
Address 2
SUITE LL108
ZIP Code
11803-1718
Phone
(516) 576-2040

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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