Carly Cearley
Individual provider Active NPI Speech-Language Pathologist · Ingram, TX
NPI 1417864612 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1417864612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 120356 (TX)
- Practice address
- 111 Lakebridge TRL
Ingram, TX 78025-5576 - Phone
- (830) 739-6366
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 120356 | TX | Yes |
Addresses
Primary practice location
111 Lakebridge TRL
Ingram, TX 78025-5576
Mailing address
111 Lakebridge TRL
Ingram, TX 78025-5576
Phone (830) 739-6366
Other providers in Ingram, TX
- Robyn Sybil Adkins
- Blue Heron Counseling LLC
- Tonya Leigh Carson
- Constance Cason
- Angela Cline
- Justin Hamilton
- Helping Hands of Mother Teresa
- Ingram Independent School District
- Erin Nicole Ingram
All providers in Ingram, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.