Individual
ALISA LAUREN CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WEST AVE, PASADENA, TX 77502-3630
(713) 740-0842
Mailing address
1416 COLETO CREEK LN, LEAGUE CITY, TX 77573-6571
(832) 686-0636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
121593
TX
Other
Enumeration date
05/20/2022
Last updated
03/28/2025
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