Provider Demographics
NPI:1679452155
Name:WEEKS, CARMEN H (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:H
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-2413
Mailing Address - Country:US
Mailing Address - Phone:817-220-1700
Mailing Address - Fax:
Practice Address - Street 1:300 POJO DR
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-2138
Practice Address - Country:US
Practice Address - Phone:817-220-1219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist