Provider Demographics
NPI:1912044116
Name:DONNELL, CARIN LOUISE (SLP-A)
Entity Type:Individual
Prefix:MS
First Name:CARIN
Middle Name:LOUISE
Last Name:DONNELL
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-0244
Mailing Address - Country:US
Mailing Address - Phone:919-528-4474
Mailing Address - Fax:919-528-4478
Practice Address - Street 1:1555 HWY 56
Practice Address - Street 2:UNIT 4
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-8296
Practice Address - Country:US
Practice Address - Phone:919-528-4474
Practice Address - Fax:919-528-4478
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCSLP-A 01302355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant