Provider Demographics
NPI:1871800912
Name:FARLEY, CHRISTINA A (SPEECH PATHOLAGIST)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:A
Last Name:FARLEY
Suffix:
Gender:F
Credentials:SPEECH PATHOLAGIST
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:FARLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SPEECH
Mailing Address - Street 1:2965 E 196TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3805
Mailing Address - Country:US
Mailing Address - Phone:917-667-9919
Mailing Address - Fax:347-297-2551
Practice Address - Street 1:2965 E 196TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3805
Practice Address - Country:US
Practice Address - Phone:917-667-9919
Practice Address - Fax:347-297-2551
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY710979582355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant