Individual provider · NPI-1
Erin Theresa Carr, CCC-SLP
Speech-Language Pathologist, · Burleson, TX
NPI number1548912926
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1548912926
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Erin Theresa Carr
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2022
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 114201 | TX | Yes |
Practice location
1125 Nw Summercrest BlvdBurleson, TX 76028-7340
Phone 817-245-3000
Mailing address
5637 Wonder DrFort Worth, TX 76133-2853
Phone 210-844-4587
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