Individual provider · NPI-1

Carrie Lynn Bauman

Speech-Language Pathologist, · Plantation, FL

NPI number1770829228
StatusActive
Last updated in NPPESJan 2, 2013

Details

NPI
1770829228
Entity type
Individual (NPI-1)
Name
Mrs. Carrie Lynn Bauman
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 2, 2013
Last updated
Jan 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,sz6102FLYes

Practice location

447 Nw 73rd Ave
Plantation, FL 33317-1608

Phone 954-583-7383

Mailing address

447 Nw 73rd Ave
Plantation, FL 33317-1608

Phone 954-583-7383

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