Provider Demographics
NPI:1104992767
Name:CARLSON, ELIZABETH CRANFORD (SLP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CRANFORD
Last Name:CARLSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 WESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2225
Mailing Address - Country:US
Mailing Address - Phone:281-589-1613
Mailing Address - Fax:
Practice Address - Street 1:3026 WESTWICK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2225
Practice Address - Country:US
Practice Address - Phone:281-589-1613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14470235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist