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NPI Code Detail

MEDICARE: DR. CARAH JANE SULLENBARGER SLPD, CCC-SLP

MEDICARE: DR. CARAH JANE SULLENBARGER SLPD, CCC-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 Pathologist105795TX
2235Z00000XSpeech-Language Pathologist22005484AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538456009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARAH JANE SULLENBARGER SLPD, CCC-SLP
Provider Business Mailing Address
First Line : 9919 TOWNE RD
Second Line :
City : CARMEL
State : IN
Zip : 46032-8260
Country : US
Telephone Number : 317-872-4166
Fax Number : 317-872-3234
Provider Business Practice Location Address
First Line : 9919 TOWNE RD
Second Line :
City : CARMEL
State : IN
Zip : 46032-8260
Country : US
Telephone Number : 317-872-4166
Fax Number : 317-872-3234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 01/11/2023

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Directions to “ DR. CARAH JANE SULLENBARGER SLPD, CCC-SLP” Practice Location

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