| Doctor Name: | CARRIE JENNIFER TARR |
| NPI Number: | 1114157971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SA6605 |
| Business Practice Address: | 170 N Center St Ormond Beach, FL - 321745186 |
| Business Phone Number: | 3869444939 |
| Business Fax Number: | |
| Mailing Address: | 21 Undermount Path E, PALM COAST |
| State: | FL |
| Postal Code: | 321645734 |
| Phone Number: | 3865860125 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 07/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA6605 |
| 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 |