Individual provider · NPI-1

Carol Bianco

Speech-Language Pathologist, · Plantation, FL

NPI number1841530276
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1841530276
Entity type
Individual (NPI-1)
Name
Carol Bianco
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 21, 2013
Certification date
Mar 23, 2022
Last updated
Mar 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA1700FLYes
222Q00000X Developmental Therapist––

Practice location

9320 Chelsea Dr S
Plantation, FL 33324-6278

Phone 954-632-4556

Mailing address

9320 Chelsea Dr S
Plantation, FL 33324-6278

Phone 954-632-4556

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