Provider Demographics
NPI:1679267850
Name:PASLEY-CALDWELL, TOPEKA
Entity Type:Individual
Prefix:
First Name:TOPEKA
Middle Name:
Last Name:PASLEY-CALDWELL
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 1:1807 CEDAR LANE RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-1730
Mailing Address - Country:US
Mailing Address - Phone:864-414-4062
Mailing Address - Fax:864-220-2893
Practice Address - Street 1:1807 CEDAR LANE RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-1730
Practice Address - Country:US
Practice Address - Phone:864-414-4062
Practice Address - Fax:864-220-2893
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management