Free, Carol Kathleen

Free, Carol Kathleen is an sole proprietor health care provider with primary practice located at 245 M Mt Hermon Road Suite 149, Scotts Valley CA 95066-4045. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Free, Carol Kathleen can be contacted via phone (831) 336-4444.

Contact Information

Primary practice address
245 M Mt Hermon Road Suite 149 Scotts Valley CA 95066-4045
Phone: (831) 336-4444
Fax: (831) 604-1405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU635 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT000270L Pennsylvania

Profile Details

NPI number 1992865430
LBN Legal business name Free, Carol Kathleen
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated May 28th, 2009 - 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 1992865430 NPPES
California MEDICAID AU0006350

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