Carletta Jean Allen, is a
Speech-language Pathologist based in Cottonwood, Idaho. Carletta Jean Allen is licensed to practice in Idaho (license number SLP-1091) and her current practice location is
701 Lewiston Street, Cottonwood, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 962-3251.
NPI number for Carletta Jean Allen is 1124442421 and her current mailing address is Po Box 137, Cottonwood, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124442421.
Healthcare Provider's Profile
| Full Name | Carletta Jean Allen |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 701 Lewiston Street, Cottonwood, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124442421
- Provider Enumeration Date: 02/07/2014
- Last Update Date: 02/07/2014
Medical Identifiers
Medical identifiers for Carletta Jean Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124442421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SLP-1091 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carletta Jean Allen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carletta Jean Allen,
Po Box 137,
Cottonwood, ID 83522-0137
Ph: (208) 962-3251 | Carletta Jean Allen,
701 Lewiston Street,
Cottonwood, ID 83522
Ph: (208) 962-3251 |
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