MEDICARE: CARRI STUHR

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	SA12927	FL

General Provider Information

NPI Number	:	1427469550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRI STUHR

Provider Business Mailing Address
First Line	:	2471 TORRENS DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-9620
Country	:	US
Telephone Number	:	612-308-8127
Fax Number	:

Provider Business Practice Location Address
First Line	:	2471 TORRENS DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-9620
Country	:	US
Telephone Number	:	612-308-8127
Fax Number	:

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

Provider Enumeration Date	:	05/12/2014
Last Update Date	:	05/12/2014

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Directions to “ CARRI STUHR ” Practice Location

Language	Start Address	Practice Location

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