Carroll, Mary Katherine
Carroll, Mary Katherine is an individual health care provider with primary practice located at 1401 South Federal Highway , Fort Lauderdale FL 33316-2619. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Carroll, Mary Katherine can be contacted via phone (954) 943-9589.Contact Information
Primary practice address
1401 South Federal Highway
Fort Lauderdale FL 33316-2619
Phone: (954) 943-9589
Fax: (954) 943-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA3241 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | SA3241 | Florida |
Profile Details
| NPI number | 1255469912 |
|---|---|
| LBN Legal business name | Carroll, Mary Katherine |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Feb 9th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255469912 | NPPES |
| Florida | MEDICAID | 812122200 | |
| Florida | MEDICAID | 88255300 | |
| Florida | Other | SA3241 |
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