Provider Demographics
NPI:1447221296
Name:AUER, JENNIFER L (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:AUER
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 CENTERGROVE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1515
Mailing Address - Country:US
Mailing Address - Phone:704-938-4300
Mailing Address - Fax:
Practice Address - Street 1:3605 CENTERGROVE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-1515
Practice Address - Country:US
Practice Address - Phone:704-938-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001912-1237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY610644100OtherDEPT OF LABOR