Provider Demographics
NPI:1982811139
Name:SLAYMAKER, CARRIE D (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:D
Last Name:SLAYMAKER
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 1:922 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1859
Mailing Address - Country:US
Mailing Address - Phone:773-439-9791
Mailing Address - Fax:
Practice Address - Street 1:3003 S 50TH CT
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-3514
Practice Address - Country:US
Practice Address - Phone:773-439-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist