Provider Demographics
NPI:1487817094
Name:BRAZIER-CARTER, PATRICIA MINNIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MINNIS
Last Name:BRAZIER-CARTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36327 W PINE GROVE CT
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3462
Mailing Address - Country:US
Mailing Address - Phone:225-772-9909
Mailing Address - Fax:225-313-6273
Practice Address - Street 1:36327 W PINE GROVE CT
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3462
Practice Address - Country:US
Practice Address - Phone:225-772-9909
Practice Address - Fax:225-313-6273
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3897235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist