Underwood, Carol A
Underwood, Carol A is an individual health care provider with primary practice located at 149 Dayton Ave , Manorville NY 11949-2005. 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. Underwood, Carol A can be contacted via phone (631) 878-4441.Contact Information
Primary practice address
149 Dayton Ave
Manorville NY 11949-2005
Phone: (631) 878-4441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1982913380 |
|---|---|
| LBN Legal business name | Underwood, Carol A |
| Credentials | M.A., SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2010 |
| Last updated | Oct 2nd, 2010 - about 16 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 | 1982913380 | NPPES |
| New York | MEDICAID | 02558794 |
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