Provider Demographics
NPI:1023225745
Name:JARET, CAROLYN S (MS, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:S
Last Name:JARET
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:MRS
Other - First Name:CAROLYN
Other - Middle Name:SUE
Other - Last Name:JARET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:6206 E PIMA ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-7000
Mailing Address - Country:US
Mailing Address - Phone:520-885-0234
Mailing Address - Fax:520-885-0507
Practice Address - Street 1:6206 E PIMA ST
Practice Address - Street 2:SUITE 4
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-7000
Practice Address - Country:US
Practice Address - Phone:520-885-0234
Practice Address - Fax:520-885-0507
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD4014231H00000X
AZDA1513231H00000X
AZHAD4366237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ75651Medicare ID - Type Unspecified
75650Medicare UPIN