Provider Demographics
NPI:1669910774
Name:MARKOWITZ, CARLYE (MA,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CARLYE
Middle Name:
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 CAROLINE AVE
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-1533
Mailing Address - Country:US
Mailing Address - Phone:724-456-5072
Mailing Address - Fax:
Practice Address - Street 1:1001 N LEAVITT RD
Practice Address - Street 2:
Practice Address - City:LEAVITTSBURG
Practice Address - State:OH
Practice Address - Zip Code:44430-9644
Practice Address - Country:US
Practice Address - Phone:330-898-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.11793235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist