Individual
JENNIFER LEE CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(210) 888-0368
Mailing address
370 BACKACRE RD, KERRVILLE, TX 78028-8549
(830) 928-2318
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
44158
TX
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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