Healthcare Provider Details

I. General information

NPI: 1417172776
Provider Name (Legal Business Name): ERIN ELIZABETH CARTER M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LESLIE ST
NASHVILLE AR
71852-4015
US

IV. Provider business mailing address

814 W JOHNSON ST
NASHVILLE AR
71852-4420
US

V. Phone/Fax

Practice location:
  • Phone: 870-845-8161
  • Fax:
Mailing address:
  • Phone: 870-845-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2167
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: