Brooke Carter

Individual provider Active NPI Speech-Language Pathologist · Aledo, TX

NPI 1548044969 · NPPES record last updated Aug 24, 2023

Key facts

NPI
1548044969
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
117170 (TX)
Practice address
408 S FM 1187
Aledo, TX 76008-4407
Phone
(817) 207-3415
NPI assigned
Aug 24, 2023
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
117170TXMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117170 TX Yes

Addresses

Primary practice location

408 S FM 1187
Aledo, TX 76008-4407

Mailing address

408 S FM 1187
Aledo, TX 76008-4407

Other providers in Aledo, TX

All providers in Aledo, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.