Pamela Leigh Carrico M.A., CCC-SLP

NPI 1043553613 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043553613
Gender Female
Enumeration Date 04/02/2013
Last Updated 04/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
11531 SWINFORD LN
MOKENA IL, 60448-9274, US
Phone (615) 512-1170
Fax
Business Location
11531 SWINFORD LN
MOKENA IL, 60448-9274, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 242002611
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According to our database, Ms. Pamela Leigh Carrico M.A., CCC-SLP NPI is 1043553613, taxonomy code is 235Z00000X and license number is 242002611, license state is located at Illinois. Pamela Leigh Carrico M.A., CCC-SLP physically located at 11531 Swinford Ln, Mokena IL, 60448-9274. NPI Number Pamela Leigh Carrico M.A., CCC-SLP has the Individual type.

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1043553613 NPI number is provided on an as is basis without warranty of any kind. 1043553613 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Leigh Carrico M.A., CCC-SLP are for informational purposes only.