Provider Demographics
NPI:1154677094
Name:CARTER, KATE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:TILDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1422 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-3815
Mailing Address - Country:US
Mailing Address - Phone:517-525-6099
Mailing Address - Fax:
Practice Address - Street 1:1422 WATERFORD DR
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-3815
Practice Address - Country:US
Practice Address - Phone:517-525-6099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005506A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist