Provider Demographics
NPI:1134403389
Name:MCMURRY, CAROLE O (MS)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:O
Last Name:MCMURRY
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5207 EASTWIND RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1686
Mailing Address - Country:US
Mailing Address - Phone:502-593-8891
Mailing Address - Fax:
Practice Address - Street 1:5207 EASTWIND RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-1686
Practice Address - Country:US
Practice Address - Phone:502-593-8891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0149235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist