Doctor Name: | CARSHINA VINCENT |
NPI Number: | 1356567309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD CCC-SLP |
License Number: | SP#P7882 |
Business Practice Address: | 114 County Road 418 Jonesboro, AR - 724047592 |
Business Phone Number: | 8709306358 |
Business Fax Number: | 8709309336 |
Mailing Address: | 114 County Road 418, JONESBORO |
State: | AR |
Postal Code: | 724047592 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P7882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |