Individual
KRISTEN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 N DOBSON RD STE F-2, CHANDLER, AZ 85224-9611
(480) 722-1300
Mailing address
17736 N 90TH AVE, PEORIA, AZ 85382-4004
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLP9612
AZ
2355S0801X
Speech-Language Assistant
SLPA9612
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053012
—
AZ
Enumeration date
08/21/2015
Last updated
11/30/2018
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