Individual
MS. CARRIE LYNN FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
502 W JACKSON ST, MULBERRY, IN 46058-9538
(765) 296-2911
Mailing address
1066 CHESAPEAKE POINTE DR, LAFAYETTE, IN 47909-8521
(765) 532-5153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005825A
IN
Other
Enumeration date
01/25/2013
Last updated
03/14/2023
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