Individual
CARLY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 CHAMPLAIN DR STE 500, LINCOLN, NE 68521-4764
(402) 942-1329
Mailing address
4701 CHAMPLAIN DR STE 500, LINCOLN, NE 68521-4764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
940
NE
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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