Mary Katherine Carroll in Fort Lauderdale - Developmental Therapist
Mary Katherine Carroll - NPI 1255469912
Mary Katherine Carroll is a Developmental Therapist in Fort Lauderdale, Florida. Mary Katherine Carroll practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Mary Katherine Carroll is 1255469912. The last update date is 2012-02-09.
Mary Katherine Carroll's current location address is 1401 South Federal Highway, Fort Lauderdale, Florida. You can contact this provider via phone number 9549439589 and fax number 9549434115. The mailing address for Mary Katherine Carroll is 1401 South Federal Highway, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Katherine Carroll |
|---|---|
| Address | 1401 South Federal Highway, Fort Lauderdale, Florida |
| Phone Number | 9549439589 |
| Fax Number | 9549434115 |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1255469912 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2012-02-09 |
Provider Mailing Address Detail
| Address | 1401 South Federal Highway |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333162619 |
| Phone Number | 9549439589 |
| Fax Number | 9549434115 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | SA3241 |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 812122200 | FL | -- | |
| 88255300 | FL | -- | |
| SA3241 | FL | LISENCE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Katherine Carroll by the Centers for Medicare & Medicaid Services?
The Mary Katherine Carroll has been issued the NPI (National Provider Identifier) 1255469912, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Katherine Carroll?
The Mary Katherine Carroll is physically situated at 1401 South Federal Highway, in the city of Fort Lauderdale, state of FL, with the postal code 333162619.
What is Mary Katherine Carroll's area of expertise and its corresponding taxonomy classification?
The Mary Katherine Carroll's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1255469912 to Mary Katherine Carroll?
The Centers for Medicare & Medicaid Services assigned the 1255469912 to Mary Katherine Carroll on 2007-03-02.
When was the information pertaining to Mary Katherine Carroll most recently updated or revised?
The details related to Mary Katherine Carroll, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-09.
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