Provider Demographics
NPI:1013141290
Name:NORRIS, CARYN LYNN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:LYNN
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14293 AVIAN WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-8304
Mailing Address - Country:US
Mailing Address - Phone:317-353-7817
Mailing Address - Fax:
Practice Address - Street 1:14293 AVIAN WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-8304
Practice Address - Country:US
Practice Address - Phone:317-353-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003659A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist