Individual
SARA EMILY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-9570
Mailing address
PO BOX 711, REXBURG, ID 83440-0711
(208) 359-9570
(208) 359-9580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2230
ID
Other
Enumeration date
06/05/2012
Last updated
06/20/2018
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