Provider Demographics
NPI:1619016342
Name:BARTHELETTE, CARA RENE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:RENE
Last Name:BARTHELETTE
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 1:22308 PINEAPPLE WALK DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5522
Mailing Address - Country:US
Mailing Address - Phone:561-866-8918
Mailing Address - Fax:
Practice Address - Street 1:11435 W PALMETTO PARK RD STE J
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2630
Practice Address - Country:US
Practice Address - Phone:561-702-6141
Practice Address - Fax:561-361-9179
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ4129235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist