Kricket Nicole Carter, M. ED SLP
Individual provider Active NPI Speech-Language Pathologist · Saint Marys, GA
NPI 1366877128 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1366877128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- PCET001963 (GA)
- Practice address
- 2015 Osborne Rd
Unit a
Saint Marys, GA 31558-9165 - Phone
- (912) 576-9603
- Fax
- (912) 576-9865
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| PCET001963 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crew Speech & Language Group, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET001963 | GA | Yes |
Addresses
Primary practice location
2015 Osborne Rd
Unit a
Saint Marys, GA 31558-9165
Mailing address
2015 Osborne Rd
Unit a
Saint Marys, GA 31558-9165
Phone (912) 576-9603
Other providers in Saint Marys, GA
- Anthony Cane
- Carlos a. Levy, MD, PA
- Breanna Carlstedt
- Dagmar Maria Carroll
- Kari Carter
- Nakea Carter
- Case Chiropractic Neurology Center LLC
- Marc Charles Case
- Hannah Cassel
- Jessica Marie Cerstvik
All providers in Saint Marys, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. 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.