Individual
MISS STEPHANIE MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
123 EGG HARBOR RD, BUILDING 700, SEWELL, NJ 08080-9406
(410) 889-0727
(410) 889-0729
Mailing address
416 E 30TH ST, BALTIMORE, MD 21218-3934
(410) 889-0727
(410) 889-0729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00809800
NJ
235Z00000X
Speech-Language Pathologist
SL010784
PA
Other
Enumeration date
02/27/2014
Last updated
05/26/2015
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