MEDICARE: MRS. CARON L PLOWMAN MA CCC SLP

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	235Z00000X	Speech-Language Pathologist	SP322	NV

General Provider Information

NPI Number	:	1316131527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARON L PLOWMAN MA CCC SLP

Provider Business Mailing Address
First Line	:	10524 BROWNSVILLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-3217
Country	:	US
Telephone Number	:	702-419-6432
Fax Number	:

Provider Business Practice Location Address
First Line	:	10524 BROWNSVILLE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-3217
Country	:	US
Telephone Number	:	702-419-6432
Fax Number	:

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

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	07/25/2015

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