Provider Demographics
NPI:1912248295
Name:NOHR, CARISSA MAUREEN (MS CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:CARISSA
Middle Name:MAUREEN
Last Name:NOHR
Suffix:
Gender:F
Credentials:MS CCC/SLP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6913 ALPINE CURRANT VW APT 307
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-9047
Mailing Address - Country:US
Mailing Address - Phone:402-660-2697
Mailing Address - Fax:
Practice Address - Street 1:8540 SCARBOROUGH DR STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7519
Practice Address - Country:US
Practice Address - Phone:719-597-0822
Practice Address - Fax:719-599-4606
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14049170OtherAMERICAN SPEECH LANGUAGE PATHOLOGY
CO0000444OtherSTATE LICENSE