Provider Demographics
NPI:1679506943
Name:CARLIN SPEECH PATHOLOGY AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CARLIN SPEECH PATHOLOGY AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-363-2270
Mailing Address - Street 1:26407 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1964
Mailing Address - Country:US
Mailing Address - Phone:281-363-2270
Mailing Address - Fax:281-292-3902
Practice Address - Street 1:26407 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1964
Practice Address - Country:US
Practice Address - Phone:281-363-2270
Practice Address - Fax:281-292-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676651Medicare Oscar/Certification