Tracy D. Carroll in Fresno - Speech-language Pathologist
Tracy D. Carroll - NPI 1003973686
Tracy D. Carroll is a Speech-language Pathologist in Fresno, California. Tracy D. Carroll practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tracy D. Carroll is 1003973686. The last update date is 2008-01-04.
Tracy D. Carroll's current location address is 1875 E Portland Ave, Fresno, California. You can contact this provider via phone number 5599780701 and fax number 5593240541. The mailing address for Tracy D. Carroll is 1875 E Portland Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy D. Carroll |
|---|---|
| Address | 1875 E Portland Ave, Fresno, California |
| Phone Number | 5599780701 |
| Fax Number | 5593240541 |
| Sole Proprietor | Y |
| Credentials | MA CCC SLP |
NPI Number Detail
| NPI Number | 1003973686 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 1875 E Portland Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937202335 |
| Phone Number | 5599780701 |
| Fax Number | 5593240541 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP 8121 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identifier code issued to Tracy D. Carroll by the Centers for Medicare & Medicaid Services?
The Tracy D. Carroll has been assigned the NPI (National Provider Identifier) 1003973686 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tracy D. Carroll is physically located?
The Tracy D. Carroll is physically situated at the following address: 1875 E Portland Ave, Fresno, CA, 937202335.
What is Tracy D. Carroll's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy D. Carroll's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
When was the Tracy D. Carroll's 1003973686 issued?
The Tracy D. Carroll's 1003973686 was issued on 2007-01-02.
When was the Tracy D. Carroll's information last updated?
The Tracy D. Carroll's information was last updated on 2008-01-04.