Provider Demographics
NPI:1003071119
Name:SCOBEY, AMANDA PATTERSON (AUD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:PATTERSON
Last Name:SCOBEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12239 ROYAL CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3195
Mailing Address - Country:US
Mailing Address - Phone:704-414-0313
Mailing Address - Fax:
Practice Address - Street 1:1565 EBENEZER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3421
Practice Address - Country:US
Practice Address - Phone:803-327-4000
Practice Address - Fax:803-366-9829
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3904231H00000X
NC8522231H00000X
NC1335237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter