Individual
CAREY TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
35 OLD KINGS RD N, PALM COAST, FL 32137-8227
(386) 445-5555
Mailing address
35 OLD KINGS RD N, PALM COAST, FL 32137-8227
(386) 445-5555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6443
FL
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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