Provider Demographics
NPI:1801466982
Name:BROOKS, CAROLE ELAINE (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:ELAINE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Other - First Name:
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Mailing Address - Street 1:9101 N CENTRAL EXPY STE 595
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-6080
Mailing Address - Country:US
Mailing Address - Phone:469-375-3838
Mailing Address - Fax:469-375-3840
Practice Address - Street 1:9101 N CENTRAL EXPY STE 595
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-6080
Practice Address - Country:US
Practice Address - Phone:469-375-3838
Practice Address - Fax:469-375-3840
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX102002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist