Provider Demographics
NPI:1700208238
Name:CARPENTER, MARSHA BAINBRIDGE (MD)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:BAINBRIDGE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2222 WELBORN ST
Mailing Address - Street 2:SCOTTISH RITE HOSP--CENTER FOR DYSLEXIA
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3924
Mailing Address - Country:US
Mailing Address - Phone:214-559-7817
Mailing Address - Fax:214-559-7808
Practice Address - Street 1:2222 WELBORN ST
Practice Address - Street 2:SCOTTISH RITE HOSP--CENTER FOR DYSLEXIA
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3924
Practice Address - Country:US
Practice Address - Phone:214-559-7817
Practice Address - Fax:214-559-7808
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG11042080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics