Provider Demographics
NPI:1033848544
Name:POPIELSKI, CARLEY (AUD)
Entity Type:Individual
Prefix:
First Name:CARLEY
Middle Name:
Last Name:POPIELSKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-9801
Mailing Address - Country:US
Mailing Address - Phone:570-287-8649
Mailing Address - Fax:570-287-9560
Practice Address - Street 1:601 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-9801
Practice Address - Country:US
Practice Address - Phone:570-287-8649
Practice Address - Fax:570-287-9560
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006941231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist