Provider Demographics
NPI:1154581239
Name:CONTRERAS HULFISH, CARLA M (SLP)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:M
Last Name:CONTRERAS HULFISH
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 1:2334 VIA CALLE CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938-9428
Mailing Address - Country:US
Mailing Address - Phone:530-343-9253
Mailing Address - Fax:
Practice Address - Street 1:2334 VIA CALLE CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:CA
Practice Address - Zip Code:95938-9428
Practice Address - Country:US
Practice Address - Phone:530-343-9253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16050235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist