Provider Demographics
NPI:1689047813
Name:ACKERT, CARA L (SLP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:ACKERT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:L
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:3577 XANTHIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3363
Mailing Address - Country:US
Mailing Address - Phone:720-838-7885
Mailing Address - Fax:
Practice Address - Street 1:3577 XANTHIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3363
Practice Address - Country:US
Practice Address - Phone:720-838-7885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist