Individual
KAITLYN NICOLE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
44038 45TH ST STE A, SHAWNEE, OK 74804-9683
(405) 286-3749
Mailing address
114102 N 3690 RD, OKEMAH, OK 74859-6539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5766
OK
235Z00000X
Speech-Language Pathologist
CF320
OK
235Z00000X
Speech-Language Pathologist
—
OK
Other
Enumeration date
05/20/2021
Last updated
05/06/2022
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