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General NPI Number Information
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NPI Number | 1275800773
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Entity Type | Individual
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Provider Name | KATHERINE CARR M.S. , CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 3240 ARDEN WAY
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City | SACRAMENTO
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State | CA
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Zip | 95825-2015
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Country | US
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Telephone | 916-486-5693
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Fax |
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Provider Business Mailing Address
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Address Line | 3676 GOZO ISLAND AVE
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City | SACRAMENTO
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State | CA
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Zip | 95834-7546
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Country | US
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Telephone | 479-387-6444
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP23574
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License Number State | CA
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