Provider Demographics
NPI:1396914032
Name:CARTER, RITA GAIL (MA CCC-A)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:GAIL
Last Name:CARTER
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8055 N 24TH AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4865
Mailing Address - Country:US
Mailing Address - Phone:602-544-1670
Mailing Address - Fax:602-544-1740
Practice Address - Street 1:8055 N 24TH AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4865
Practice Address - Country:US
Practice Address - Phone:602-544-1670
Practice Address - Fax:602-544-1740
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA486231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist