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NPI Code Detail

MEDICARE: ALYSSA NICOLE CARTER M.S., CF-SLP

MEDICARE: ALYSSA NICOLE CARTER M.S., CF-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 Pathologist118581TX

General Provider Information

NPI Number : 1770242141
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA NICOLE CARTER M.S., CF-SLP
Provider Business Mailing Address
First Line : 4506 CISCO VALLEY DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3943
Country : US
Telephone Number : 512-364-4526
Fax Number :
Provider Business Practice Location Address
First Line : 8300 N MOPAC EXPY STE 150
Second Line :
City : AUSTIN
State : TX
Zip : 78759-0027
Country : US
Telephone Number : 512-872-2180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 12/14/2021

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Directions to “ ALYSSA NICOLE CARTER M.S., CF-SLP” Practice Location

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