Provider Demographics
NPI:1033858667
Name:CARPENTER, SUZANNE AUDREY (CF-SLP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:AUDREY
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:AUDREY
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CF-SLP
Mailing Address - Street 1:90 HOWARD DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1329 APPLEGATE LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-9612
Practice Address - Country:US
Practice Address - Phone:812-542-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist