Provider Demographics
NPI:1326312232
Name:OLMSTEAD, CARA CAMILLE (MACCC/SLP)
Entity Type:Individual
Prefix:MISS
First Name:CARA
Middle Name:CAMILLE
Last Name:OLMSTEAD
Suffix:
Gender:F
Credentials:MACCC/SLP
Other - Prefix:MRS
Other - First Name:CARA
Other - Middle Name:CAMILLE
Other - Last Name:SIFUENTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24619 EMERALD POOL FALLS DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-5370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10300 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4208
Practice Address - Country:US
Practice Address - Phone:281-897-6477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist