Provider Demographics
NPI:1548798168
Name:CARTA, TSUYAKO YAMAGUCHI (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TSUYAKO
Middle Name:YAMAGUCHI
Last Name:CARTA
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 1:1481 W TOWN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-1379
Mailing Address - Country:US
Mailing Address - Phone:614-272-8231
Mailing Address - Fax:
Practice Address - Street 1:1481 W TOWN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1379
Practice Address - Country:US
Practice Address - Phone:614-272-8231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7133235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist