Individual
MAXINE CARRASCO-CABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KENNEDY AVE UNIT 1113, DANBURY, CT 06810-5772
(917) 259-9407
Mailing address
4475 HENRY HUDSON PKWY APT 5H, BRONX, NY 10471-3865
(917) 259-9407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
29957
CA
235Z00000X
Speech-Language Pathologist
Primary
6143
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2019
Last updated
06/10/2022
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