Provider Demographics
NPI:1275651457
Name:COMPTON, CARRIE ANNE (SLP)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ANNE
Last Name:COMPTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E HAMPSHIRE ST
Mailing Address - Street 2:10
Mailing Address - City:HOLBROOK
Mailing Address - State:AZ
Mailing Address - Zip Code:86025-2754
Mailing Address - Country:US
Mailing Address - Phone:928-637-3571
Mailing Address - Fax:
Practice Address - Street 1:SANDERS UNIFIED SCHOOL DISTRICT 1-40 HWY 191
Practice Address - Street 2:
Practice Address - City:SANDERS
Practice Address - State:AZ
Practice Address - Zip Code:86512
Practice Address - Country:US
Practice Address - Phone:928-637-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPL5369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist