Doctor Name: | CAROLYN CARTER |
NPI Number: | 1386073500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6801074 |
Business Practice Address: | 112 Jordan Dr Chattanooga, TN - 374216802 |
Business Phone Number: | 4234684060 |
Business Fax Number: | 4234684069 |
Mailing Address: | 112 Jordan Dr, CHATTANOOGA |
State: | TN |
Postal Code: | 374216802 |
Phone Number: | 4234684060 |
Fax Number: | 4234684069 |
NPI Enumeration Date: | 11/07/2013 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6801074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |