Provider Demographics
NPI:1528230729
Name:REID-CARO, ANDRIA R (BS)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:R
Last Name:REID-CARO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 SW 148TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1975
Mailing Address - Country:US
Mailing Address - Phone:206-246-8677
Mailing Address - Fax:
Practice Address - Street 1:457 SW 148TH ST
Practice Address - Street 2:STE 101
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1975
Practice Address - Country:US
Practice Address - Phone:206-246-8677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00004734237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist