MEDICARE: MS. CARRIE RENEE FARRINGTON MS 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	07293	MD

General Provider Information

NPI Number	:	1376010470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARRIE RENEE FARRINGTON MS CCC-SLP

Provider Business Mailing Address
First Line	:	63 TRIPLE CROWN CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21244-1244
Country	:	US
Telephone Number	:	410-375-4904
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 TRIPLE CROWN CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21244-1244
Country	:	US
Telephone Number	:	410-375-4904
Fax Number	:

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

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	10/26/2018

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