Marla K Carnes, MS--SLP
Individual provider Active NPI Speech-Language Pathologist · Altus, OK
NPI 1194802439 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1194802439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2393 (OK)
- Practice address
- 1216 Karen Dr
Altus, OK 73521-6935 - Phone
- (580) 284-7408
- NPI assigned
- Nov 1, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2393 | OK | MD | Dental Hygienist |
| 102597 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102597 | TX | |
| Speech-Language Pathologist | 235Z00000X | 2393 | OK | Yes |
Addresses
Primary practice location
1216 Karen Dr
Altus, OK 73521-6935
Mailing address
1216 Karen Dr
Altus, OK 73521-6935
Phone (580) 284-7408
Other practice location 1
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111408402 | Medicaid | TX | |
| 87623T | Other | TX | BCBS OF TEXAS # |
| 111408401 | Medicaid | TX |
Other providers in Altus, OK
- James Robert Campbell III
- Cancer Centers of Southwest Oklahoma, LLC
- Jesse Belle Carapia Gonzalez
- Jorge Cardenas
- Penny Carlson
- Kimberly Kay Carpenter
- Charles C Carter
- Tammy Lynn Carter
- Tom Stephen Carter
- Heather Dawn Caskey
All providers in Altus, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.