Healthcare Provider Details

I. General information

NPI: 1558387035
Provider Name (Legal Business Name): NORTH CAROLINA AUDIOLOGY ASSOCIATES,, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 BARRETT DR SUITE 101
RALEIGH NC
27609-6618
US

IV. Provider business mailing address

4002 BARRETT DR SUITE 101
RALEIGH NC
27609-6618
US

V. Phone/Fax

Practice location:
  • Phone: 919-783-8751
  • Fax: 919-783-8753
Mailing address:
  • Phone: 919-783-8751
  • Fax: 919-783-8753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3704
License Number StateNC

VIII. Authorized Official

Name: DR. CYNTHIA ANN SCHAFFER
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 919-783-8751