Individual
DR. CARRIE LYNN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC, SLP
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(304) 696-2984
Mailing address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(304) 696-2984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1439
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494946986
—
NE
Enumeration date
11/01/2006
Last updated
11/29/2021
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