Provider Demographics
NPI:1598007742
Name:CREAMER, CARI DIXON (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARI
Middle Name:DIXON
Last Name:CREAMER
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 1:22 W BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-7534
Mailing Address - Country:US
Mailing Address - Phone:912-379-9625
Mailing Address - Fax:
Practice Address - Street 1:22 W BENNETT AVE
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-7534
Practice Address - Country:US
Practice Address - Phone:912-379-9625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP 008021235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist