Individual provider · NPI-1

Carrie Leianne Carr, MEd., CCC-SLP

Speech-Language Pathologist, · Burleson, TX

NPI number1659564359
StatusActive
Last updated in NPPESMay 10, 2016

Details

NPI
1659564359
Entity type
Individual (NPI-1)
Name
Mrs. Carrie Leianne Carr
Credential
MEd., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2007
Last updated
May 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,12014033–Yes

Practice location

255 Elk Dr
Suite B
Burleson, TX 76028-8692

Phone 256-590-0787

Mailing address

255 Elk Dr
Suite B
Burleson, TX 76028-8692

Phone 256-590-0787

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