Most Relevant Information
Provider Data
| NPI Number: | 1003436643 |
| Provider Name: | CARRIE CHOUINARD |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 15095 |
Most Important Dates
| Enumeration Date: | 04/23/2020 |
| Last Updated: | 04/23/2020 |
Provider Practice Location
7836 MISSION MONTANA PL
SAN DIEGO
CA
921201543
Practice Location Phone/Fax
| Phone: | 6193475971 |
| Fax: |
Provider Mailing Location
7836 MISSION MONTANA PL
SAN DIEGO
CA
921201543
Provider Mailing Phone/Fax
| Phone: | 6193475971 |
| Fax: |