Carin Marie Kohlbus

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL001409L Issued in PA

Practice address

1780 Kendarbren Drive
Invo Health Care Associates
Jamison, PA 18929

Phone

(215) 489-8760

Fax

(215) 489-8766

NPI assigned

Jun 11, 2007

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Carin Marie Cusma Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1053514562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 KENDARBREN DRIVE",
            "address_2": "INVO HEALTH CARE ASSOCIATES",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "18929",
            "telephone_number": "215-489-8760",
            "fax_number": "215-489-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 KENDARBREN DRIVE",
            "address_2": "INVO HEALTH CARE ASSOCIATES",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "18929",
            "telephone_number": "215-489-8760",
            "fax_number": "215-489-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLBUS",
        "first_name": "CARIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001409L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA NUMBER",
            "identifier": "0017343420007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARIN",
            "last_name": "CUSMA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Michael Todd Kogan, CP, BOCO
• Danielle Korban, MS. ED, LPC
• Dennis Thaddeus Kwiatkowski, OD
• Charyl Josephine Lakoff, CRNA
• Mary Lynn Lasalvia-Keyte, MRP, CADC, CCDP
• Laura C.Walsh

• Speech-Language Pathologist in Jamison, PA
• Providers in Jamison, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.