Doctor Name: | MRS. CARRIE LEIANNE CARR |
NPI Number: | 1659564359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED., CCC-SLP |
License Number: | 12014033 |
Business Practice Address: | 255 Elk Dr Suite B Burleson, TX - 760288692 |
Business Phone Number: | 2565900787 |
Business Fax Number: | |
Mailing Address: | 255 Elk Dr, Suite B BURLESON |
State: | TX |
Postal Code: | 760288692 |
Phone Number: | 2565900787 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2007 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12014033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |