Provider Demographics
NPI:1467687194
Name:CARPENTER-BARIN, MONNA (BS,LIC SLP AND RDH)
Entity Type:Individual
Prefix:MS
First Name:MONNA
Middle Name:
Last Name:CARPENTER-BARIN
Suffix:
Gender:F
Credentials:BS,LIC SLP AND RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9611 BRAUN RUN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-7475
Mailing Address - Country:US
Mailing Address - Phone:210-722-6034
Mailing Address - Fax:210-647-7209
Practice Address - Street 1:9611 BRAUN RUN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-7475
Practice Address - Country:US
Practice Address - Phone:210-722-6034
Practice Address - Fax:210-647-7209
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11828235Z00000X
TX13115124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No124Q00000XDental ProvidersDental Hygienist