Individual
MICHELLE ALEXANDRA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3816 S 1ST ST, AUSTIN, TX 78704
(512) 443-1311
(512) 406-6266
Mailing address
6210 E US HWY 290, STE. 420 - CREDENTIALING, AUSTIN, TX 78723-1098
(512) 338-3826
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402186701
—
TX
05
—
402186702
—
TX
Enumeration date
06/06/2018
Last updated
11/01/2019
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