Doctor Name: | MS. TRACY CARTER |
NPI Number: | 1104951045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA1753 |
Business Practice Address: | 100360 Overseas Hwy Key Largo, FL - 330372586 |
Business Phone Number: | 3054343702 |
Business Fax Number: | 3054343703 |
Mailing Address: | 100360 Overseas Hwy, KEY LARGO |
State: | FL |
Postal Code: | 330372586 |
Phone Number: | 3054343702 |
Fax Number: | 3054343703 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |