Daniel Carnley, SLP
Individual provider Active NPI Speech-Language Pathologist · Albertville, AL
NPI 1689083289 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1689083289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-2611 (ID)
- Practice address
- 125 W Main St
Albertville, AL 35950-1625 - Phone
- (256) 849-0444
- Fax
- (256) 849-0445
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141118000984 | ID | Practitioner - Qualified Speech Language Pathologist | 4981826450 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2611 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Therapy Source LLC | Current |
Accepting new patients | |
| Primary Therapy Source, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| The Occupational Therapy Center, LLC | Past |
Accepting new patients |
Locations
254 River Vista Pl
Twin Falls, ID 83301
Phone (208) 734-7333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2611 | ID | Yes |
Addresses
Primary practice location
125 W Main St
Albertville, AL 35950-1625
Mailing address
125 W Main St
Albertville, AL 35950-1625
Phone (256) 849-0444
Other providers in Albertville, AL
- Gary Alan Calhoun
- Erika N Campbell
- Conna Marie Canada
- Michael J Carboni
- Careplus Family Medical, LLC
- John E Carr
- Audrey Carson
- Pacey Mikaela Carson
- Cynthia Marie Caughman
- Celebration Group Homes, Inc.
All providers in Albertville, AL · Speech-Language Pathologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.