| Organization Name: | CAROLINE J. CONNELLY,MS/CCC-SLP,PC;PA |
| NPI Number: | 1932340650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINE J. CONNELLY (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 7800 Great Oak Dr Lake Worth |
| State: | FL US |
| Postal Code: | 334677110 |
| Phone Number: | 5614331345 |
| Fax Number: | 5613575720 |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA4555 |
| 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 |