Speed, Carrie M.

Speed, Carrie M. is an individual health care provider with primary practice located at 4510 N 37Th Ave , Phoenix AZ 85019-3206. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Speed, Carrie M. can be contacted via phone (602) 336-2990.

Contact Information

Primary practice address
4510 N 37Th Ave Phoenix AZ 85019-3206
Phone: (602) 336-2990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1568502375
LBN Legal business name Speed, Carrie M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568502375 NPPES
Arizona Other 576572 AHCCCS PROVIDER NUMBER

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