Individual
LEAH GRACE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
Mailing address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(369) 895-4700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
18004
OR
235Z00000X
Speech-Language Pathologist
78313
MA
235Z00000X
Speech-Language Pathologist
Primary
LL61472201
WA
235Z00000X
Speech-Language Pathologist
SP35937
CA
235Z00000X
Speech-Language Pathologist
SP3826
ME
235Z00000X
Speech-Language Pathologist
—
NH
Other
Enumeration date
10/08/2020
Last updated
01/27/2024
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