Provider Demographics
NPI:1730580135
Name:STEEDLEY, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:STEEDLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 CHIMNEY BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8166
Mailing Address - Country:US
Mailing Address - Phone:843-849-2200
Mailing Address - Fax:843-849-3377
Practice Address - Street 1:569 CHIMNEY BLUFF DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8166
Practice Address - Country:US
Practice Address - Phone:843-849-2200
Practice Address - Fax:843-849-3377
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2055235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist