Individual
MS. JANET ANTONESE CARULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
9348 E SYCAMORE SPRINGS TRL, VAIL, AZ 85641-6516
(520) 404-9463
Mailing address
9348 E SYCAMORE SPRINGS TRL, VAIL, AZ 85641-6516
(520) 404-9463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
707490
AHCCCS
AZ
01
—
AZ0142730
BCBS OF ARIZONA
AZ
01
—
SLP1863
ARIZONA DEPT. OF HEALTH
AZ
Enumeration date
09/21/2006
Last updated
07/08/2007
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