Individual
CARISSA CELESTE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122409
TX
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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