Provider Demographics
NPI:1346608346
Name:COX, CARLY ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARLY
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:GAUCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-520-5700
Mailing Address - Fax:
Practice Address - Street 1:10330 MERIDIAN AVE N STE 270
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9495
Practice Address - Country:US
Practice Address - Phone:206-668-7100
Practice Address - Fax:206-668-7101
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT573231H00000X
WA60588775231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist