Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie M Carlson, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1619312675

Katie M Carlson, MACCC-SLP is a Speech-Language Pathologist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

3986 Havenhurst Ave
Riverside, CA 92507-4822
Phone: (951) 312-0734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12757 (CA)

Record details

NPI number1619312675
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 3, 2013
Last updated in NPPESMay 3, 2013

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