Provider Demographics
NPI:1518225556
Name:MARSHALL, CYNTHIA METCALF (NBCHIS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:METCALF
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:NBCHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 MONTICELLO RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9441
Mailing Address - Country:US
Mailing Address - Phone:828-484-8300
Mailing Address - Fax:828-645-6936
Practice Address - Street 1:63 MONTICELLO RD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9441
Practice Address - Country:US
Practice Address - Phone:828-484-8300
Practice Address - Fax:828-645-6936
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist