Most Relevant Information
Provider Data
| NPI Number: | 1003324765 |
| Provider Name: | ALICIA MARIE CARPENTER SLPA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 4709 |
Most Important Dates
| Enumeration Date: | 01/16/2018 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
8840 N MAGNOLIA AVE STE 220
SANTEE
CA
920714516
Practice Location Phone/Fax
| Phone: | 6196920622 |
| Fax: |
Provider Mailing Location
5335 APPLETON ST
SAN DIEGO
CA
921171508
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |