| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARRIE JONELLE CAPEHART | 1457525438 | 2024-07-05 |
Carrie Jonelle Capehart is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457525438. Registration indicates Carrie Jonelle Capehart is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Carrie Jonelle Capehart M.S., CCC-SLP |
| Practice Office Address | 9808 S 600 W UNION MILLS, IN US |
| Practice Office Telephone | 2193956194 |
| Mailing Address | 412 SUNNYBROOKE CT CHESTERTON, IN 463049201 US |
| Business Telephone | 2193956194 |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 22003777A
IN |