Provider Demographics
NPI:1386722361
Name:CARR, JANET HARROD (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:HARROD
Last Name:CARR
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:HARROD
Other - Last Name:SHAKLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:4870 S LEWIS AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5151
Mailing Address - Country:US
Mailing Address - Phone:918-850-7465
Mailing Address - Fax:918-524-1724
Practice Address - Street 1:4870 S LEWIS AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5151
Practice Address - Country:US
Practice Address - Phone:918-850-7465
Practice Address - Fax:918-524-1724
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist