Individual
DANIELLE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6180 BROCKTON AVE, RIVERSIDE, CA 92506-2228
(951) 684-6500
Mailing address
6180 BROCKTON AVE, RIVERSIDE, CA 92506-2228
(951) 684-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19173
CA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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