| Doctor Name: | CELESTA CARTRITE MYLAND |
| NPI Number: | 1578649042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.,CCC/A |
| License Number: | 8430 |
| Business Practice Address: | 675 Water St Excelsior, MN - 553313072 |
| Business Phone Number: | 9529255626 |
| Business Fax Number: | 9529250223 |
| Mailing Address: | 675 Water St, EXCELSIOR |
| State: | MN |
| Postal Code: | 553313072 |
| Phone Number: | 9529255626 |
| Fax Number: | 9529250223 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2500X |
| License Number: | 8430 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Supplier |
| Taxonomy Definition: | |