Provider Demographics
NPI:1487818241
Name:GARROTT JAIMES, MARIA CAROLINA (MS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CAROLINA
Last Name:GARROTT JAIMES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 ELTON AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-4515
Mailing Address - Country:US
Mailing Address - Phone:917-687-5939
Mailing Address - Fax:
Practice Address - Street 1:789 ELTON AVE APT 3C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4515
Practice Address - Country:US
Practice Address - Phone:917-687-5939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017714-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist