Provider Demographics
NPI:1083864953
Name:FRANKS, CAROLYN (AUD, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:MRS
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:MENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-A
Mailing Address - Street 1:1632 E ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4017
Mailing Address - Country:US
Mailing Address - Phone:704-295-3725
Mailing Address - Fax:704-295-3737
Practice Address - Street 1:1632 E ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4017
Practice Address - Country:US
Practice Address - Phone:704-295-3725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000885231H00000X
NC10267231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist