Search › Texas › 235Z00000X
Mironda Carmicle, MS,CCC-SLP
NPI 1922120930 · on the registry since 2007 · sole proprietor
Practice
- Address
- 424 S Adams St
Fort Worth, TX 76104 - Phone
- (817) 335-5781
- Clinicians at this address
- 7
Additional practice sites
- 2303 Ansley Park Ln, Southaven, MS
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- TN, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas