Provider Demographics
NPI:1114162427
Name:ORLANDO-HAYES, CAROL (MA/MS)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:ORLANDO-HAYES
Suffix:
Gender:F
Credentials:MA/MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-3423
Mailing Address - Country:US
Mailing Address - Phone:772-519-1972
Mailing Address - Fax:
Practice Address - Street 1:201 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-3423
Practice Address - Country:US
Practice Address - Phone:772-519-1972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA508235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist