Provider Demographics
NPI:1386195576
Name:ALDAPE, CAROL NORDAHL (SLP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:NORDAHL
Last Name:ALDAPE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:NORDAHL ALDAPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:1766 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1905
Mailing Address - Country:US
Mailing Address - Phone:530-242-1511
Mailing Address - Fax:
Practice Address - Street 1:2701 N ROCKY POINT DR
Practice Address - Street 2:SUITE 650
Practice Address - City:ROCKY POINT
Practice Address - State:FL
Practice Address - Zip Code:33607-5917
Practice Address - Country:US
Practice Address - Phone:530-242-1511
Practice Address - Fax:530-242-1611
Is Sole Proprietor?:No
Enumeration Date:2016-10-22
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist