Provider Demographics
NPI:1720859838
Name:SINGLETON, AALIYAH JANEA
Entity Type:Individual
Prefix:
First Name:AALIYAH
Middle Name:JANEA
Last Name:SINGLETON
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 1:204 ROYAL PALM BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3230
Mailing Address - Country:US
Mailing Address - Phone:843-367-6918
Mailing Address - Fax:
Practice Address - Street 1:204 ROYAL PALM BLVD APT 103
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3230
Practice Address - Country:US
Practice Address - Phone:843-367-6918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13165225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist