Provider Demographics
NPI:1306814322
Name:CARR, KATHLEEN MURPHY (MHS-CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MURPHY
Last Name:CARR
Suffix:
Gender:F
Credentials:MHS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 WESTMINSTER ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-8726
Mailing Address - Country:US
Mailing Address - Phone:630-545-2878
Mailing Address - Fax:630-282-6544
Practice Address - Street 1:2277 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8726
Practice Address - Country:US
Practice Address - Phone:630-545-2878
Practice Address - Fax:630-282-6544
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-006759235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232718OtherBCBS PROVIDER NUMBER
IL1346216934OtherGROUP NPI