Provider Demographics
NPI:1427494962
Name:EASTER, CARLA (AUD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:
Last Name:EASTER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:
Other - Last Name:SISSELSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10201 KANIS RD.
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-227-3800
Mailing Address - Fax:
Practice Address - Street 1:500 S UNIVERSITY AVE
Practice Address - Street 2:#423
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5302
Practice Address - Country:US
Practice Address - Phone:501-664-4381
Practice Address - Fax:501-661-1228
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR299843YRP3Medicare PIN