Provider Demographics
NPI:1528857257
Name:CARRIER, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CARRIER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 E PIKE ST
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-1526
Mailing Address - Country:US
Mailing Address - Phone:859-534-8206
Mailing Address - Fax:859-347-3991
Practice Address - Street 1:128 E PIKE ST
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-1526
Practice Address - Country:US
Practice Address - Phone:859-534-8206
Practice Address - Fax:859-347-3991
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY271751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist