Carroll, Tristy Lynn

Carroll, Tristy Lynn is an individual health care provider with primary practice located at 102 2Nd Ave Sw Ste 215A , Jamestown ND 58401-4104. 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, Tristy Lynn can be contacted via phone (701) 320-6488.

Contact Information

Primary practice address
102 2Nd Ave Sw Ste 215A Jamestown ND 58401-4104
Fax: (701) 252-6074
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 683 North Dakota

Profile Details

NPI number 1588766059
LBN Legal business name Carroll, Tristy Lynn
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Jun 24th, 2021 - about 4 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 1588766059 NPPES
North Dakota MEDICAID 1460115

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