Bartow, Charlotte Lynn

Bartow, Charlotte Lynn is an sole proprietor health care provider with primary practice located at 371 Sw Undallo Rd , Port Saint Lucie FL 34953-6028. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bartow, Charlotte Lynn can be contacted via phone (561) 358-8899.

Contact Information

Primary practice address
371 Sw Undallo Rd Port Saint Lucie FL 34953-6028
Phone: (561) 358-8899
Fax: (772) 871-7416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7731 Florida

Profile Details

NPI number 1316071897
LBN Legal business name Bartow, Charlotte Lynn
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Oct 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316071897 NPPES
Florida MEDICAID 890560600

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