Carroll, Mary Katherine
Carroll, Mary Katherine is an individual health care provider with primary practice located at 1401 South Federal Highway , Fort Lauderdale FL 33316-2619. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Carroll, Mary Katherine can be contacted via phone (954) 943-9589.Contact Information
Primary practice address
1401 South Federal Highway
Fort Lauderdale FL 33316-2619
Phone: (954) 943-9589
Fax: (954) 943-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA3241 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | SA3241 | Florida |
Profile Details
| NPI number | 1255469912 |
|---|---|
| LBN Legal business name | Carroll, Mary Katherine |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Feb 9th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255469912 | NPPES |
| Florida | MEDICAID | 812122200 | |
| Florida | MEDICAID | 88255300 | |
| Florida | Other | SA3241 |
Popular Providers
-
Wamboldt, Deana Susan
2310 S.W. 34Th Ave. , Fort Lauderdale FL 33312 -
Barbarovich, Angela
2400 Ne 8Th St , Fort Lauderdale FL 33304-3520 -
Hennessy, Allison
3000 Sw 14Th St , Fort Lauderdale FL 33312-2814 -
Israel, Allen H
5201 Sw 31St Ave #213, Fort Lauderdale FL 33312-6920 -
Petrucelli, Danielle
1600 S Andrews Ave Rehabilitation Department, Fort Lauderdale FL 33316-2510 -
Rosenfeld, Carol
1401 South Federal Highway , Fort Lauderdale FL 33316-2619 -
Rivera Toro, Joan M
110 E Broward Blvd Ste 2400 , Fort Lauderdale FL 33301-3504 -
Zilizi, Andrea
1401 S Federal Hwy , Fort Lauderdale FL 33316-2619