Doctor Name: | MRS. CAROL CARLBERG |
NPI Number: | 1043346679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SPP02024 |
Business Practice Address: | 8390 Delmar Blvd Suite 202 Saint Louis, MO - 631242117 |
Business Phone Number: | 3142259768 |
Business Fax Number: | 3144327503 |
Mailing Address: | 8390 Delmar Blvd, Suite 202 SAINT LOUIS |
State: | MO |
Postal Code: | 631242117 |
Phone Number: | 3142259768 |
Fax Number: | 3144327503 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SPP02024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |