Individual
MRS. STEPHANIE A CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2850 5TH AVE, HUNTINGTON, WV 25702-1436
(304) 528-5000
(304) 528-5080
Mailing address
5 LAUREL PT, HUNTINGTON, WV 25705-2660
(304) 733-9470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00634865
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9409109000
—
WV
Enumeration date
01/31/2008
Last updated
01/31/2008
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