Individual
MARY ELIZABETH CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4135 SHELBYVILLE RD, LOUISVILLE, KY 40207-3203
(502) 890-3921
Mailing address
2006 CHEROKEE PKWY APT 7, LOUISVILLE, KY 40204-2240
(502) 599-2832
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
248731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248731
AUDIOLOGY LICENSE
KY
Enumeration date
08/01/2019
Last updated
08/01/2019
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