Provider Demographics
NPI:1619638012
Name:CARTER, CLAIRE (MS)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7865 FIREFALL WAY APT 3314
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7338
Mailing Address - Country:US
Mailing Address - Phone:210-827-9882
Mailing Address - Fax:
Practice Address - Street 1:4000 EAGLE PASS
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4705
Practice Address - Country:US
Practice Address - Phone:469-752-4351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist