Healthcare Provider Details

I. General information

NPI: 1881309581
Provider Name (Legal Business Name): CARMEN TRAMMELL SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 S HIGLEY RD STE 103-477
GILBERT AZ
85296-1166
US

IV. Provider business mailing address

14800 MEMORIAL DR APT 2204
HOUSTON TX
77079-5218
US

V. Phone/Fax

Practice location:
  • Phone: 480-998-1477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: