Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolynn Wise, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1730477753

Carolynn Wise, MSCCC-SLP is a Speech-Language Pathologist in Fort Lauderdale, Florida. Works from 2 locations. Licensed in Florida and Pennsylvania.

Licensed in
FL, PA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1451 SW 18th Ave
Fort Lauderdale, FL 33312-4163
Phone: (570) 239-0396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Se 3rd Ave, Fort Lauderdale, FL 33301-3125 — (754) 321-0000

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA11607 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL009241 (PA)

Record details

NPI number1730477753
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESOctober 23, 2019

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