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Contact Information

ATHENA DECARLO
1700 BRONSON WAY
KALAMAZOO, MI49009
 Phone: 269-459-3728
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ATHENA DECARLO · (Female)

NPI Number 1801398367
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2018
Last updated 03/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 7101005020
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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