Carly L Everingham

NPI #1912133968 in Waterloo, Indiana

Provider Information

NPI Number: 1912133968
Entity Type: Individual
Name: Carly L Everingham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 4, 2009
Last Updated: Jun 4, 2009

Practice Location

Address: 820 INNKEEPERS CT
City: Waterloo
State: Indiana
ZIP Code: 46793-9499
Phone: (574) 528-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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