Provider Demographics
NPI:1891191524
Name:CARPENTER, DEE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DEE
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:DEE
Other - Middle Name:ANN
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:800 ASHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-8719
Mailing Address - Country:US
Mailing Address - Phone:405-206-3734
Mailing Address - Fax:
Practice Address - Street 1:800 ASHWOOD LN
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-8719
Practice Address - Country:US
Practice Address - Phone:405-206-3734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2902235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist