Staci L Carlson
Individual provider Active NPI Speech-Language Pathologist · El Paso, TX
NPI 1679607667 · NPPES record last updated Nov 30, 2015
Key facts
- NPI
- 1679607667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 17696 (TX)
- Practice address
- 6800 Gateway Blvd E
BLDG 4a
El Paso, TX 79915-1040 - Phone
- (915) 779-7827
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 17696 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TS Carlson Pediatric Rehab LP | Current | Accepting new patients | |
| Ability - All 4 Kids, LLC | Current | Accepting new patients | |
| Healthstar Family Rehab Center, LLC | Current | Accepting new patients |
Locations
6800 Gateway Blvd E
Ste 4A
El Paso, TX 79915
Phone (915) 779-7827
7840 FM 1960 Rd E
Ste 401
Humble, TX 77346
Phone (281) 548-2458
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17696 | TX | Yes |
Addresses
Primary practice location
6800 Gateway Blvd E
BLDG 4a
El Paso, TX 79915-1040
Mailing address
6800 Gateway Blvd E
BLDG 4a
El Paso, TX 79915-1040
Phone (915) 779-7827
Other providers in El Paso, TX
- Carlos R Cesar ,MD., P.a.
- Danelle Carlos
- Elena Carlos
- Scott David Carlsen
- Joseph Andrew Carlson
- Carmela P Morales MD PA
- Carmen P Arango MD PA
- Carmen P Arango MD PA
- Raquel Carmenate Proenza
- Carmona Eye Care PLLC
All providers in El Paso, 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 Nov 30, 2015. 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.