Provider Demographics
NPI:1982759205
Name:CARNAHAN, KARLA ANN (MS, CCC, SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:ANN
Last Name:CARNAHAN
Suffix:
Gender:F
Credentials:MS, CCC, SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WARBONNET RD
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-9824
Mailing Address - Country:US
Mailing Address - Phone:307-382-6774
Mailing Address - Fax:
Practice Address - Street 1:2632 FOOTHILL BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-4756
Practice Address - Country:US
Practice Address - Phone:307-389-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-281235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist