Bridge, Carolyn

Bridge, Carolyn is an sole proprietor health care provider with primary practice located at 5422 16Th Ln Ne , Saint Petersburg FL 33703-1754. 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. Bridge, Carolyn can be contacted via phone (813) 787-2341.

Contact Information

Primary practice address
5422 16Th Ln Ne Saint Petersburg FL 33703-1754
Phone: (813) 787-2341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8835 Florida

Profile Details

NPI number 1437205762
LBN Legal business name Bridge, Carolyn
Credentials M.S., C.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated May 4th, 2016 - about 9 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 1437205762 NPPES
Florida MEDICAID 890964400
Florida MEDICAID 812013700

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