Provider Demographics
NPI:1730335654
Name:CARR-WHEELER, JOCELYN REBECCA (MCD/SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:REBECCA
Last Name:CARR-WHEELER
Suffix:
Gender:F
Credentials:MCD/SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 EAGLES NEST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-2058
Mailing Address - Country:US
Mailing Address - Phone:802-318-6085
Mailing Address - Fax:
Practice Address - Street 1:102 EAGLES NEST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-2058
Practice Address - Country:US
Practice Address - Phone:802-318-6085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6214025235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist