Provider Demographics
NPI:1205189370
Name:CARTER, ALINA MICHELLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:MICHELLE
Last Name:CARTER
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 1:330 GREAT RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775-1173
Mailing Address - Country:US
Mailing Address - Phone:978-212-9747
Mailing Address - Fax:
Practice Address - Street 1:330 GREAT RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775-1173
Practice Address - Country:US
Practice Address - Phone:617-724-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist