Individual
MISS CAROL KATHLEEN FREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
245 M MT HERMON ROAD, SUITE 149, SCOTTS VALLEY, CA 95066-4045
(831) 336-4444
(831) 604-1405
Mailing address
412 BRODHEAD ST, EASTON, PA 18042-1604
(610) 253-1144
(610) 253-9009
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AT000270L
PA
231H00000X
Audiologist
Primary
AU635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0006350
—
CA
Enumeration date
12/12/2006
Last updated
05/28/2009
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