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NPI Code Detail

MEDICARE: CELESTA CARTRITE MYLAND M.S.,CCC/A

MEDICARE: CELESTA CARTRITE MYLAND M.S.,CCC/A
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
1231H00000XAudiologist8430MN
2231HA2500XAssistive Technology Supplier Audiologist8430MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578649042
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTA CARTRITE MYLAND M.S.,CCC/A
Provider Business Mailing Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-925-5626
Fax Number : 952-925-0223
Provider Business Practice Location Address
First Line : 675 WATER ST
Second Line :
City : EXCELSIOR
State : MN
Zip : 55331-3072
Country : US
Telephone Number : 952-925-5626
Fax Number : 952-925-0223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 11/25/2008

Similar Medicare Providers

1962402834 — MICHAEL T SCHULENBERG MD
Practice Location Address:
675 WATER ST
EXCELSIOR, MN
55331-3072
Practice Phone: 952-906-7855
Practice Fax: 952-470-4523
1134103278 — MS. KARA M HUTTON APRN, FNP
Practice Location Address:
675 WATER ST
EXCELSIOR, MN
55331-3072
Practice Phone: 952-906-7855
Practice Fax: 952-470-4523
1609851229 — MAUREEN PAULY UTZ MD
Practice Location Address:
675 WATER ST
EXCELSIOR, MN
55331-3072
Practice Phone: 952-442-3188
Practice Fax: 952-442-7861
1215007414 — ELIZABETH LYNN KENNEDY DO
Practice Location Address:
675 WATER ST
EXCELSIOR, MN
55331-3072
Practice Phone: 952-906-7855
Practice Fax:
1821131483 — MISS SABINA RUKIYA SABUR MA, CCC-A
Practice Location Address:
675 WATER ST
EXCELSIOR, MN
55331-3072
Practice Phone: 952-925-5626
Practice Fax: 952-925-0223
1174726541 — MICHAEL TODD HOPFENSPIRGER MD
Practice Location Address:
675 WATER ST
EXCELSIOR, MN
55331-3072
Practice Phone: 952-925-5626
Practice Fax: 952-925-0223

Directions to “ CELESTA CARTRITE MYLAND M.S.,CCC/A” Practice Location

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