Individual
CAROL SPECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 N CENTRAL EXPY, SUITE 402, RICHARDSON, TX 75080-5332
(972) 786-6464
(214) 238-1221
Mailing address
PO BOX 940165, PLANO, TX 75094-0165
(972) 424-9212
(972) 509-1450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6650LC
BCBS PROVIDER NUMBER
TX
Enumeration date
10/06/2006
Last updated
04/06/2009
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