Individual
CAROLYN CARMINATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PARKVIEW DR, TROPHY CLUB, TX 76262-4210
(817) 215-0469
Mailing address
1808 COPPER MOUNTAIN DR, JUSTIN, TX 76247-6746
(817) 914-7910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15933
—
TX
Enumeration date
08/12/2022
Last updated
10/05/2022
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