Provider Demographics
NPI:1598037194
Name:CARPENETTI, TERRI ANN
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:ANN
Last Name:CARPENETTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301A GANDER WAY AVE
Mailing Address - Street 2:
Mailing Address - City:MC GUIRE AFB
Mailing Address - State:NJ
Mailing Address - Zip Code:08641-4173
Mailing Address - Country:US
Mailing Address - Phone:215-613-6523
Mailing Address - Fax:215-613-6527
Practice Address - Street 1:527 WRIGHTSTOWN SYKESVILLE RD
Practice Address - Street 2:UNIT 15, BUILDING C
Practice Address - City:WRIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08562-1530
Practice Address - Country:US
Practice Address - Phone:215-613-6523
Practice Address - Fax:215-613-6527
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00683600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist