Provider Demographics
NPI:1508236811
Name:CARLTON, CINDY (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:CARLTON
Suffix:
Gender:F
Credentials: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:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:ELM CREEK
Mailing Address - State:NE
Mailing Address - Zip Code:68836-0490
Mailing Address - Country:US
Mailing Address - Phone:308-856-4300
Mailing Address - Fax:308-856-4907
Practice Address - Street 1:230 E CALKINS AVE
Practice Address - Street 2:
Practice Address - City:ELM CREEK
Practice Address - State:NE
Practice Address - Zip Code:68836-7648
Practice Address - Country:US
Practice Address - Phone:308-856-4300
Practice Address - Fax:308-856-4907
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist