Individual
PHYLLIS CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 CORONADO CENTER DR STE 120, HENDERSON, NV 89052
(702) 564-4116
Mailing address
833 LONG LAKE DR, JACKSONVILLE, FL 32225-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104594
TX
Other
Enumeration date
10/06/2014
Last updated
07/30/2018
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