Carroll, Cynthia M

Carroll, Cynthia M is an individual health care provider with primary practice located at 1708A Owen Dr , Fayetteville NC 28304-3419. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Carroll, Cynthia M can be contacted via phone (910) 425-6282.

Contact Information

Primary practice address
1708A Owen Dr Fayetteville NC 28304-3419
Phone: (910) 425-6282
Fax: (910) 425-6554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 8300047K North Carolina

Profile Details

NPI number 1346564309
LBN Legal business name Carroll, Cynthia M
Credentials ITFS, M.ED
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Apr 8th, 2022 - about 3 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 1346564309 NPPES
North Carolina MEDICAID 8300047K

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