Provider Demographics
NPI:1538354360
Name:TORNABENE, CAROLINE MARIE (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:MARIE
Last Name:TORNABENE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:57 PROSPECT PARK SW
Mailing Address - Street 2:APARTMENT 1D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5968
Mailing Address - Country:US
Mailing Address - Phone:516-459-3428
Mailing Address - Fax:
Practice Address - Street 1:57 PROSPECT PARK SW
Practice Address - Street 2:APARTMENT 1D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5968
Practice Address - Country:US
Practice Address - Phone:516-459-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017399235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist