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NPI Code Detail

MEDICARE: MS. ELIZABETH CRANFORD CARLSON SLP

MEDICARE:  MS. ELIZABETH CRANFORD CARLSON  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 Pathologist14470TX

General Provider Information

NPI Number : 1104992767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH CRANFORD CARLSON SLP
Provider Business Mailing Address
First Line : 3026 WESTWICK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2225
Country : US
Telephone Number : 281-589-1613
Fax Number :
Provider Business Practice Location Address
First Line : 3026 WESTWICK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2225
Country : US
Telephone Number : 281-589-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/08/2007

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Directions to “ MS. ELIZABETH CRANFORD CARLSON SLP” Practice Location

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