Individual
JOAN CASCIATO CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, CCC-SLP
Contact information
Practice address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7000
Mailing address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09116221
ASHA CERTIFICATION NUMBER
—
01
—
338947E
EDUCATIONAL STAFF ASSOCIATE
WA
Enumeration date
10/29/2012
Last updated
10/29/2012
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