Provider Demographics
NPI:1619360476
Name:CARTER, DANA EILEEN (MCD, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:EILEEN
Last Name:CARTER
Suffix:
Gender:F
Credentials:MCD, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27008 PALO PINTO TRL
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-4264
Mailing Address - Country:US
Mailing Address - Phone:936-525-7680
Mailing Address - Fax:
Practice Address - Street 1:27008 PALO PINTO TRL
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355-4264
Practice Address - Country:US
Practice Address - Phone:936-525-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist