MRS. Alycia Leane Carroll, MS, CCC-SLP
NPI #1336620087 in Bloomington, Illinois
Provider Information
- NPI Number
- 1336620087
- Entity Type
- Individual
- Name
- MRS. Alycia Leane Carroll, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Aug 21, 2018
- Last Updated
- Aug 21, 2018
Practice Location
- Address
- 1605 E OAKLAND AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-5617
- Phone
- (309) 662-4302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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