Healthcare Provider Details

I. General information

NPI: 1700300688
Provider Name (Legal Business Name): CYDNEY ENNIS GEHRING AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 FRANKLIN ST SE STE 100
HUNTSVILLE AL
35801-4306
US

IV. Provider business mailing address

927 FRANKLIN ST SE STE 100
HUNTSVILLE AL
35801-4306
US

V. Phone/Fax

Practice location:
  • Phone: 256-535-9038
  • Fax:
Mailing address:
  • Phone: 256-535-9038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1181A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: