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NPI Code Detail

MEDICARE: DR. CHRISTINE CARMICHAEL PH.D.

MEDICARE: DR. CHRISTINE CARMICHAEL PH.D.
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 Pathologist104000TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104000OTHERTXTEXAS LICENSE

General Provider Information

NPI Number : 1063476570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE CARMICHAEL PH.D.
Provider Business Mailing Address
First Line : 411 SW 24TH ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-4617
Country : US
Telephone Number : 210-434-6711
Fax Number : 210-431-4083
Provider Business Practice Location Address
First Line : 411 SW 24TH ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-4617
Country : US
Telephone Number : 210-434-6711
Fax Number : 210-431-4083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 06/26/2009

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Directions to “ DR. CHRISTINE CARMICHAEL PH.D.” Practice Location

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