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NPI Code Detail

MEDICARE: CARLYN MCINTOSH

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
1247200000XOther Technician
2106S00000XBehavior 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

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Directions to “ CARLYN MCINTOSH ” Practice Location

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