Provider Demographics
NPI:1376797498
Name:CARTER, LAPORSHA EUNECE (SLPA)
Entity Type:Individual
Prefix:
First Name:LAPORSHA
Middle Name:EUNECE
Last Name:CARTER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-5542
Mailing Address - Country:US
Mailing Address - Phone:870-231-4000
Mailing Address - Fax:
Practice Address - Street 1:1060 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-5542
Practice Address - Country:US
Practice Address - Phone:870-231-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08-01032355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARPENDINGMedicaid