Provider Demographics
NPI:1548938111
Name:HANEY, CARSON ELIZABETH (MS)
Entity type:Individual
Prefix:MS
First Name:CARSON
Middle Name:ELIZABETH
Last Name:HANEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAIN ST APT 206
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NH
Mailing Address - Zip Code:03275-1241
Mailing Address - Country:US
Mailing Address - Phone:607-267-1772
Mailing Address - Fax:
Practice Address - Street 1:51 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-7390
Practice Address - Country:US
Practice Address - Phone:603-625-6462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist