Individual
CARLY COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6234 W BEHREND DR APT 1112, GLENDALE, AZ 85308-6909
(307) 746-8184
Mailing address
5924 ALEXANDRIA DR, TEMPLE, TX 76502-1942
(307) 746-8184
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
11312
AZ
235Z00000X
Speech-Language Pathologist
Primary
11987
TX
235Z00000X
Speech-Language Pathologist
SLP11312
AZ
Other
Enumeration date
04/27/2019
Last updated
11/08/2022
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