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Leah Grace Carroll, MS, CCC-SLP

Speech-Language Pathologist, in Port Orchard, WA. Individual provider (NPI-1).

NPI number1134726532
StatusActive
Last updated in NPPESJan 27, 2024

Details

NPI
1134726532
Entity type
Individual (NPI-1)
Name
Leah Grace Carroll
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2020
Certification date
Jan 27, 2024
Last updated
Jan 27, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,LL61472201WAYes
235Z00000X Speech-Language Pathologist,78313MA
235Z00000X Speech-Language Pathologist,–NH
235Z00000X Speech-Language Pathologist,sp3826ME
235Z00000X Speech-Language Pathologist,SP35937CA
235Z00000X Speech-Language Pathologist,18004OR

Practice location

1141 Beach Dr E
Port Orchard, WA 98366-4937

Phone 360-895-4700

Mailing address

1141 Beach Dr E
Port Orchard, WA 98366-4937

Phone 369-895-4700

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist providers in Port Orchard, WA

All 29 Speech-Language Pathologist providers in Port Orchard · All 1,097 providers in Port Orchard

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