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Contact Information

MARY CARLISLE, SLP
404 LYNNFIELD DR
AMORY, MS38821-1208
 Phone: 662-369-5017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARY CARLISLE · (Female)

NPI Number 1760930804
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 09/19/2016
Last updated 09/19/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # SO806
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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