| Doctor Name: | MRS. CAROL THERESA PERKINS |
| NPI Number: | 1356673248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SLPA6487 |
| Business Practice Address: | 2200 Havasupai Blvd Lake Havasu City, AZ - 864033122 |
| Business Phone Number: | 9285056900 |
| Business Fax Number: | |
| Mailing Address: | 1954 Daytona Ave, LAKE HAVASU CITY |
| State: | AZ |
| Postal Code: | 864037418 |
| Phone Number: | 9284865214 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLPA6487 |
| 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 |