Carroll, Michele
Carroll, Michele is an individual health care provider with primary practice located at 930 W Southern Ave Ste #10, Mesa AZ 85210-4938. 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. Carroll, Michele can be contacted via phone (480) 835-0857.Contact Information
Primary practice address
930 W Southern Ave Ste #10
Mesa AZ 85210-4938
Phone: (480) 835-0857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP1172 | Arizona |
Profile Details
| NPI number | 1740343508 |
|---|---|
| LBN Legal business name | Carroll, Michele |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740343508 | NPPES |
| Arizona | MEDICAID | 455099 |
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