Doctor Name: | MRS. CANEYL MARIE CARTER |
NPI Number: | 1073989109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CF-SLP |
License Number: | TSLP9519 |
Business Practice Address: | 4100 S Lindsay Rd Ste 113 Gilbert, AZ - 852971507 |
Business Phone Number: | 4802193953 |
Business Fax Number: | |
Mailing Address: | 3109 E Morenci Rd, SAN TAN VALLEY |
State: | AZ |
Postal Code: | 851434557 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/12/2015 |
NPI Last Update Date: | 08/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP9519 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |