Averill, Carolyn

Averill, Carolyn is an individual health care provider with primary practice located at 1003 W Devonshire Rd , Delafield WI 53018-1923. 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. Averill, Carolyn can be contacted via phone (262) 370-0839.

Contact Information

Primary practice address
1003 W Devonshire Rd Delafield WI 53018-1923
Fax:
Website:

Profile Details

NPI number 1881791556
LBN Legal business name Averill, Carolyn
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jul 12th, 2017 - about 9 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 1881791556 NPPES
Wisconsin Other 1881791556 CAROLYN AVERILL
Wisconsin MEDICAID 1881791556 CAROLYN AVERILL

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