Miranda, Carla Yvette

Miranda, Carla Yvette is an individual health care provider with primary practice located at 602 N Lincoln St , Cabot AR 72023-2601. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Miranda, Carla Yvette can be contacted via phone (501) 843-3363.

Contact Information

Primary practice address
602 N Lincoln St Cabot AR 72023-2601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 427 Arkansas

Profile Details

NPI number 1699851352
LBN Legal business name Miranda, Carla Yvette
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Nov 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699851352 NPPES
Arkansas MEDICAID 116049721

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