MEDICARE: CARLYN MCINTOSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247200000X	Other Technician
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1538510540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLYN MCINTOSH

Provider Business Mailing Address
First Line	:	9 GREENWOODE LN APT A
Second Line	:
City	:	PONTIAC
State	:	MI
Zip	:	48340-2259
Country	:	US
Telephone Number	:	313-465-3687
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 BLOOMFIELD VILLAGE BLVD
Second Line	:	APT 24
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-3589
Country	:	US
Telephone Number	:	313-465-3687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	04/20/2022

Similar Medicare Providers

1932718202 — VIKRAM SURENDRAN
Practice Location Address:

1686 TRACEKY
ROCHESTER HILLS, MI
48306-3589

Practice Phone: 248-766-2186
Practice Fax:

1326754292 — DR. AUBREE PETTY DC
Practice Location Address:

6044 STETSON HILLS BLVD
COLORADO SPRINGS, CO
80923-3589

Practice Phone: 719-623-7999
Practice Fax:

1902201734 — AMANDA COOKSON LMSW
Practice Location Address:

2800 WAUKEGAN ST
AUBURN HILLS, MI
48326-3261

Practice Phone: 248-724-7600
Practice Fax: 248-724-6800

1952158248 — OSBELY SUCET PANDURO
Practice Location Address:

2399 E WALTON BLVD
AUBURN HILLS, MI
48326-1955

Practice Phone: 248-475-6300
Practice Fax: 248-475-6403

1023968666 — GOMEDI LLC
Practice Location Address:

3321 PARAMOUNT LN
AUBURN HILLS, MI
48326-3964

Practice Phone: 248-535-4225
Practice Fax:

1184180606 — CRYSTAL NICOLE PONCE DE LEON
Practice Location Address:

1270 DORIS RD
AUBURN HILLS, MI
48326-2617

Practice Phone: 248-276-8000
Practice Fax:

Directions to “ CARLYN MCINTOSH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.