Provider Demographics
NPI:1699857714
Name:SMILEY, CARLA SPYIES (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:SPYIES
Last Name:SMILEY
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 DAWNVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-7424
Mailing Address - Country:US
Mailing Address - Phone:404-884-5218
Mailing Address - Fax:
Practice Address - Street 1:1216 DAWNVIEW DR
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7424
Practice Address - Country:US
Practice Address - Phone:404-884-5218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01116231H00000X
GAAUD003830231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist