Individual
CARRIE ELISARRARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3350 EDUCATION DR, SAN LUIS OBISPO, CA 93405-7816
(805) 543-7732
Mailing address
1720 JOHN WAY, TEMPLETON, CA 93465-8417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP24918
CA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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