Wellformed AI

NPI 1396480521 · live from the CMS NPI Registry

Cierra Carpenter

Speech-Language Pathologist, in Wasilla, AK. National Provider Identifier 1396480521, active.

NPI record

NPI1396480521 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location701 E Parks Hwy, Wasilla, AK 99654
Practice phone628-777-3539
Mailing address9123 E Arkose Loop, Palmer, AK 99645
EnumeratedMay 2, 2022
Last updatedMay 2, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.