Healthcare Provider Details

I. General information

NPI: 1942926167
Provider Name (Legal Business Name): CAROLYN FLORENCE HAYDEN M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 SECESSIONVILLE RD
CHARLESTON SC
29412-9751
US

IV. Provider business mailing address

1099 SECESSIONVILLE RD
CHARLESTON SC
29412-9751
US

V. Phone/Fax

Practice location:
  • Phone: 716-445-6403
  • Fax:
Mailing address:
  • Phone: 716-445-6403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number025150-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30000
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.9507
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: