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Carley Elaine Thompson

Speech-Language Pathologist, in Fort Worth, TX. Individual provider (NPI-1).

NPI number1891277331
StatusActive
Last updated in NPPESAug 15, 2022

Details

NPI
1891277331
Entity type
Individual (NPI-1)
Name
Carley Elaine Thompson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2018
Certification date
Aug 12, 2022
Last updated
Aug 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,114923TXYes

Practice location

215 Ne 14th St
Fort Worth, TX 76164-8901

Phone 817-814-5400

Mailing address

2800 Ryan Place Dr
Fort Worth, TX 76110-3127

Phone 678-457-6565

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