MEDICARE: CARA LOUISE MCALLISTER M.A. 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	SA11342	FL

General Provider Information

NPI Number	:	1801198742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA LOUISE MCALLISTER M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	238 BLOSSOM LN
Second Line	:
City	:	PALM BEACH SHORES
State	:	FL
Zip	:	33404-5707
Country	:	US
Telephone Number	:	561-758-5859
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 BLOSSOM LN
Second Line	:
City	:	PALM BEACH SHORES
State	:	FL
Zip	:	33404-5707
Country	:	US
Telephone Number	:	561-758-5859
Fax Number	:

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

Provider Enumeration Date	:	11/29/2010
Last Update Date	:	03/28/2014

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