Individual
MS. MELODY ROBERTA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
8200 HOMER DR, STE. F, ANCHORAGE, AK 99518-3365
(907) 345-0050
(907) 344-5103
Mailing address
8200 HOMER DR, STE. F, ANCHORAGE, AK 99518-3365
(907) 345-0050
(907) 344-5103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP5996
—
AK
Enumeration date
11/01/2006
Last updated
07/09/2007
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