Carroll, Kathleen A

Carroll, Kathleen A is an sole proprietor health care provider with primary practice located at 17100 E Shea Blvd Ste 600 , Fountain Hills AZ 85268. 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, Kathleen A can be contacted via phone (480) 837-4565.

Contact Information

Primary practice address
17100 E Shea Blvd Ste 600 Fountain Hills AZ 85268
Phone: (480) 837-4565
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA14492 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP7810 Arizona
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP7810 Arizona

Profile Details

NPI number 1710240585
LBN Legal business name Carroll, Kathleen A
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2012
Last updated Oct 3rd, 2018 - about 8 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 1710240585 NPPES
Arizona MEDICAID 709378

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