Individual
BENJAMIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
1100 N STATE ST, CTA2E, LOS ANGELES, CA 90033-5000
(323) 409-3077
Mailing address
1100 N STATE ST, CTA2E, LOS ANGELES, CA 90033-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19418
CA
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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