Active NPIIndividual providerSole proprietor

Mrs. Mary D Carlson, MED

Speech-Language Pathologist, in Lawrence, Massachusetts

NPI Number1407142169
Practice location
360 Merrimack St, Lawrence, MA 01843-1740
Fax
978-552-4394
Last updated
June 21, 2011

Mary Dolores Carlson is a Speech-Language Pathologist, based in Lawrence, MA. Mary Dolores Carlson practices in Lawrence, MA and has the professional credentials of MED. The NPI Number for Mary Dolores Carlson is 1407142169 and holds a License No. 2829 (MA). The current practice location address for Mary Dolores Carlson is 360 Merrimack St, Lawrence, MA 01843-1740 and can be reached out via phone at 978-552-4605 and via fax at 978-552-4394.

Provider Profile Details

NPI Number
1407142169
Provider Name
Mary Dolores Carlson
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
360 Merrimack St, Lawrence, MA 01843-1740
Phone Number
978-552-4605
Fax Number
978-552-4394
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2011
Last Update Date
June 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Merrimack St
Lawrence, MA 01843-1740
Zip
01843-1740
Phone Number
978-552-4605
Fax Number
978-552-4394
Lawrence, MA 01843Get directions →

Provider Business Mailing Address Details

Address
360 Merrimack St
Lawrence, MA 01843-1740
City
Lawrence
State
MA
Zip
01843-1740
Phone Number
978-552-4605
Fax Number
978-552-4394

License Information

License Number
2829
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mary D Carlson, MED?

The NPI number of Mrs. Mary D Carlson, MED is 1407142169. It was assigned on June 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary D Carlson, MED?

Mrs. Mary D Carlson, MED is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 2829.

Where does Mrs. Mary D Carlson, MED practice?

The practice location is 360 Merrimack St, Lawrence, MA 01843-1740. The office can be reached at 978-552-4605 (phone) or 978-552-4394 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407142169 directly on the NPPES registry website.

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