Provider Demographics
NPI:1316270572
Name:JONES, CARRIE COMBERREL (CCC-SLP, CLC, QOM)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:COMBERREL
Last Name:JONES
Suffix:
Gender:F
Credentials:CCC-SLP, CLC, QOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N THEARD ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2835
Mailing Address - Country:US
Mailing Address - Phone:985-892-2276
Mailing Address - Fax:
Practice Address - Street 1:321 N THEARD ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2835
Practice Address - Country:US
Practice Address - Phone:504-858-7237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA339900174N00000X
LA5908235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN