Carson, Mary P

Carson, Mary P is an individual health care provider with primary practice located at 400 S Hollybrook Dr #201, Pembroke Pines FL 33025-1290. 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. Carson, Mary P can be contacted via phone (954) 415-2462.

Contact Information

Primary practice address
400 S Hollybrook Dr #201 Pembroke Pines FL 33025-1290
Phone: (954) 415-2462
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8092 Florida

Profile Details

NPI number 1669523361
LBN Legal business name Carson, Mary P
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 17th, 2015 - about 10 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 1669523361 NPPES
Florida MEDICAID 890687400

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