| Doctor Name: | MRS. TRISTY LYNN CARROLL |
| NPI Number: | 1588766059 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 683 |
| Business Practice Address: | 300 2nd Ave Ne Suite 215a Jamestown, ND - 584013373 |
| Business Phone Number: | 7012526066 |
| Business Fax Number: | 7012526074 |
| Mailing Address: | 300 2nd Ave Ne Ste 215a, JAMESTOWN |
| State: | ND |
| Postal Code: | 584013377 |
| Phone Number: | 7012526066 |
| Fax Number: | 7012526074 |
| NPI Enumeration Date: | 09/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| 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 |