Provider Demographics
NPI:1073864823
Name:LAMB, CARRIE (MS, SLP-CF)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10515 W MARKHAM ST STE E1
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2292
Mailing Address - Country:US
Mailing Address - Phone:501-823-0572
Mailing Address - Fax:501-251-1099
Practice Address - Street 1:10515 W MARKHAM ST STE E1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2292
Practice Address - Country:US
Practice Address - Phone:501-823-0572
Practice Address - Fax:501-251-1099
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist