Provider Demographics
NPI:1154617546
Name:LABBE, CARLA ISABEL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:ISABEL
Last Name:LABBE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1647
Mailing Address - Country:US
Mailing Address - Phone:860-989-9370
Mailing Address - Fax:
Practice Address - Street 1:14 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1647
Practice Address - Country:US
Practice Address - Phone:860-989-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004714235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist