Provider Demographics
NPI:1699464636
Name:SEAGROVES, CARLEEN MOORE (MSP, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARLEEN
Middle Name:MOORE
Last Name:SEAGROVES
Suffix:
Gender:
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E WYCHE ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3429
Mailing Address - Country:US
Mailing Address - Phone:910-914-6100
Mailing Address - Fax:910-914-6095
Practice Address - Street 1:109 E WYCHE ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3429
Practice Address - Country:US
Practice Address - Phone:910-914-6100
Practice Address - Fax:910-914-6095
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist