Provider Demographics
NPI:1548397045
Name:LEPRE, CAMILLE (MS)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:LEPRE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:
Other - Last Name:LEPRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1024 EDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13760-1517
Mailing Address - Country:US
Mailing Address - Phone:607-761-7670
Mailing Address - Fax:
Practice Address - Street 1:305 MAIN ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-2524
Practice Address - Country:US
Practice Address - Phone:607-729-1295
Practice Address - Fax:607-777-9497
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00038261235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist