MRS. Stacey Ann Carroll, MA CCC SLP
NPI #1356404552 in Palos Park, Illinois
Provider Information
- NPI Number
- 1356404552
- Entity Type
- Individual
- Name
- MRS. Stacey Ann Carroll, MA CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC SLP
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 17, 2013
Practice Location
- Address
- 10550 RIDGEWOOD DR
- City
- Palos Park
- State
- Illinois
- ZIP Code
- 60464-2522
- Phone
- (773) 742-9817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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