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NPI Code Detail

MEDICARE: REGILYN W. CARTER SLP

MEDICARE:   REGILYN W. CARTER  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistST1739LA

General Provider Information

NPI Number : 1013954056
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGILYN W. CARTER SLP
Provider Business Mailing Address
First Line : 1455 WRIGHT AVE
Second Line : SUITE A
City : CROWLEY
State : LA
Zip : 70526-2220
Country : US
Telephone Number : 337-788-1480
Fax Number : 337-788-0354
Provider Business Practice Location Address
First Line : 1455 WRIGHT AVE
Second Line : SUITE A
City : CROWLEY
State : LA
Zip : 70526-2220
Country : US
Telephone Number : 337-788-1480
Fax Number : 337-788-0354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/08/2007

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Directions to “ REGILYN W. CARTER SLP” Practice Location

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