Provider Demographics
NPI:1073765608
Name:HINDE, CARLA J (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:J
Last Name:HINDE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 LUSCOMBE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2615
Mailing Address - Country:US
Mailing Address - Phone:419-380-8426
Mailing Address - Fax:
Practice Address - Street 1:1346 LUSCOMBE DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2615
Practice Address - Country:US
Practice Address - Phone:419-380-8426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 9103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist