Individual
CARLY ELIZABETH MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4969 CHATEAU AVE, NORTH CHARLESTON, SC 29405-4808
(270) 321-0941
Mailing address
4969 CHATEAU AVE, NORTH CHARLESTON, SC 29405-4808
(270) 321-0941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8495
SC
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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