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NPI Code Detail

MEDICARE: AMY CARLETTI

MEDICARE: AMY CARLETTI
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 Pathologist3159OK

General Provider Information

NPI Number : 1821188582
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CARLETTI
Provider Business Mailing Address
First Line : 2221 W DETROIT ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-3628
Country : US
Telephone Number : 918-615-6492
Fax Number :
Provider Business Practice Location Address
First Line : 7608 E 91ST ST
Second Line :
City : TULSA
State : OK
Zip : 74133-6014
Country : US
Telephone Number : 918-663-0606
Fax Number : 918-663-8754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 08/05/2009

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Directions to “ AMY CARLETTI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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