Provider Demographics
NPI:1487883773
Name:WARD, CARRIE ANN MEREDITH (MA, CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:CARRIE ANN
Middle Name:MEREDITH
Last Name:WARD
Suffix:
Gender:F
Credentials:MA, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3609
Mailing Address - Country:US
Mailing Address - Phone:630-930-8976
Mailing Address - Fax:
Practice Address - Street 1:481 E PARK AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3609
Practice Address - Country:US
Practice Address - Phone:630-930-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1460007529235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist