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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255469912 NPPES
Florida MEDICAID 812122200
Florida MEDICAID 88255300
Florida Other SA3241

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