Provider Demographics
NPI:1477114288
Name:MURDICK, CARRIE MINETTE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:MINETTE
Last Name:MURDICK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 BASSETT HALL RD
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75189-8600
Mailing Address - Country:US
Mailing Address - Phone:816-517-5896
Mailing Address - Fax:
Practice Address - Street 1:1101 RIDGE RD STE 239
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4298
Practice Address - Country:US
Practice Address - Phone:214-620-5580
Practice Address - Fax:469-264-5037
Is Sole Proprietor?:No
Enumeration Date:2019-06-23
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist