Provider Demographics
NPI:1033848544
Name:MIDDLETON, CARLEY ROSE (AUD)
Entity type:Individual
Prefix:
First Name:CARLEY
Middle Name:ROSE
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CARLEY
Other - Middle Name:ROSE
Other - Last Name:POPIELSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1598 SANDIFER BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-0929
Mailing Address - Country:US
Mailing Address - Phone:864-882-7968
Mailing Address - Fax:864-882-7970
Practice Address - Street 1:1598 SANDIFER BLVD STE D
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-0929
Practice Address - Country:US
Practice Address - Phone:864-882-7968
Practice Address - Fax:864-882-7970
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006941231H00000X
SC7990231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist