Provider Demographics
NPI:1598974230
Name:PRICKETT, CAROL A (PHD, MT-BC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:PRICKETT
Suffix:
Gender:F
Credentials:PHD, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 CEDAR CREST SQ APT A
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-3258
Mailing Address - Country:US
Mailing Address - Phone:205-345-0906
Mailing Address - Fax:
Practice Address - Street 1:315 CEDAR CREST SQ APT A
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-3258
Practice Address - Country:US
Practice Address - Phone:205-345-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist