Mae Elisabeth Carlson, M.S., CCC-SLP
Speech-Language Pathologist, in Palo Alto, CA. Individual provider (NPI-1).
NPI number1427217892
StatusActive
Last updated in NPPESSep 2, 2010
Details
- NPI
- 1427217892
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mae Elisabeth Carlson
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2008
- Last updated
- Sep 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 18330 | CA | Yes |
| 235Z00000X | Speech-Language Pathologist, | 2202005487 | VA |
Other names
- Mae Elisabeth Condon (Former Name)
Practice location
650 Clark WayPalo Alto, CA 94304-2300
Phone 650-688-3667
Mailing address
650 Clark WayPalo Alto, CA 94304-2300
Phone 650-688-3667
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