Carroll, Melody Roberta

Carroll, Melody Roberta is an individual health care provider with primary practice located at 8200 Homer Dr Ste. F, Anchorage AK 99518-3365. 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. Carroll, Melody Roberta can be contacted via phone (907) 345-0050.

Contact Information

Primary practice address
8200 Homer Dr Ste. F Anchorage AK 99518-3365
Phone: (907) 345-0050
Fax: (907) 344-5103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4 Alaska

Profile Details

NPI number 1407933096
LBN Legal business name Carroll, Melody Roberta
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 19 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 1407933096 NPPES
Alaska MEDICAID SP5996

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