Doctor Name: | MR. FREDERICK DICARLO |
NPI Number: | 1629171590 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP |
License Number: | SA 4402 |
Business Practice Address: | 6100 Griffin Rd Davie, FL - 333144416 |
Business Phone Number: | 9542627786 |
Business Fax Number: | 9542623940 |
Mailing Address: | Po Box 290370, FT LAUDERDALE |
State: | FL |
Postal Code: | 333290370 |
Phone Number: | 9542624346 |
Fax Number: | 9542622269 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 4402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |