Carolyn Louise Clerico I, MS,CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13862 Issued in AR

Practice address

1565 W Main St
Lewisville, TX 75067-3394

Phone

(469) 713-5200

Fax

(972) 350-9500

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carolyn Louise Clerico I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1780461962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16175 BARTON CREEK LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750335897",
            "telephone_number": "214-543-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673394",
            "telephone_number": "469-713-5200",
            "fax_number": "972-350-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERICO",
        "first_name": "CAROLYN",
        "middle_name": "LOUISE",
        "name_suffix": "I",
        "credential": "MS,CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "13862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "CLERICO",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "suffix": "I",
            "credential": "MS,CCC,SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Speech-Language Pathologist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.