Provider Demographics
NPI:1003197252
Name:NYE, AMBERLY (AUD)
Entity Type:Individual
Prefix:
First Name:AMBERLY
Middle Name:
Last Name:NYE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:AMBERLY
Other - Middle Name:
Other - Last Name:THIEMENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18518 HARDY OAK BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4759
Mailing Address - Country:US
Mailing Address - Phone:210-696-4327
Mailing Address - Fax:
Practice Address - Street 1:18518 HARDY OAK BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4759
Practice Address - Country:US
Practice Address - Phone:210-696-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80426231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist