Provider Demographics
NPI:1689008443
Name:VEREEN, CARRIE DAWN (MS)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:DAWN
Last Name:VEREEN
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 1:1315 OLD CONVERSE RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-3205
Mailing Address - Country:US
Mailing Address - Phone:864-279-6100
Mailing Address - Fax:
Practice Address - Street 1:1315 OLD CONVERSE RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-3205
Practice Address - Country:US
Practice Address - Phone:864-279-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3430235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist