Individual
KATHERINE MARIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 B BUCHANAN STREET, SAN FRANCISCO, CA 94115
(415) 913-9097
(415) 358-4670
Mailing address
1731 B BUCHANAN STREET, SAN FRANCISCO, CA 94115
(415) 913-9097
(415) 358-4670
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
9513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825496321
ELECTROLOGIST
CA
Enumeration date
01/30/2019
Last updated
08/07/2020
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