Individual
CAROLYN J CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
500 LASER DR NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
Mailing address
1082 CACTUS DR NE, RIO RANCHO, NM 87144-8063
(505) 250-8377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4238
NM
Other
Enumeration date
08/17/2008
Last updated
08/17/2008
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