Provider Demographics
NPI:1538326095
Name:THOMPSON, CAROLYN E (AUD CC-A)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:AUD CC-A
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD CC-A
Mailing Address - Street 1:2520 ABERDEEN BLVD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0635
Mailing Address - Country:US
Mailing Address - Phone:704-868-8400
Mailing Address - Fax:
Practice Address - Street 1:2520 ABERDEEN BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0635
Practice Address - Country:US
Practice Address - Phone:704-868-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8714237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist