Carly Stone
Individual provider Active NPI Speech-Language Pathologist · Hughson, CA
NPI 1952057697 · NPPES record last updated Apr 4, 2022
Key facts
- NPI
- 1952057697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 18353 (CA)
- Practice address
- 6528 Graybark LN
Hughson, CA 95326-9292 - Phone
- (209) 404-7197
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250707002712 | CA | Practitioner - Qualified Speech Language Pathologist | 5890209472 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18353 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Therapy Consulting, Inc. | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
255 N Lincoln St
Ste A
Dixon, CA 95620
Phone (530) 591-3859
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18353 | CA | Yes |
Addresses
Primary practice location
6528 Graybark LN
Hughson, CA 95326-9292
Mailing address
PO Box 154
Modesto, CA 95353-0154
Other providers in Hughson, CA
- Monica Pierce Reich
- Terra Dee Ann Rosa
- Sareen Pharmacy Inc.
- Sareen Pharmacy Inc.
- Rachel E Smith
- David Tafolla
- Arely Velasco
- Jordan Velazquez
- Randee Marie Villarreal
- Anita Whitaker
All providers in Hughson, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2022. 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.