Tracy Carter, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Key Largo, FL

NPI 1104951045 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104951045
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA1753 (FL)
Practice address
100360 Overseas Hwy
Key Largo, FL 33037-2586
Phone
(305) 434-3702
Fax
(305) 434-3703
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SA1753FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA1753 FL Yes

Addresses

Primary practice location

100360 Overseas Hwy
Key Largo, FL 33037-2586

Mailing address

100360 Overseas Hwy
Key Largo, FL 33037-2586
Phone (305) 434-3702

Other providers in Key Largo, FL

All providers in Key Largo, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.