Provider Demographics
NPI:1619929718
Name:PEARSON, JENNIFER R (AUD,CCC-A)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:R
Last Name:PEARSON
Suffix:
Gender:F
Credentials:AUD,CCC-A
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:R
Other - Last Name:MICHAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:856 SWEETEN CREEK RD STE B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1584
Mailing Address - Country:US
Mailing Address - Phone:828-252-1115
Mailing Address - Fax:
Practice Address - Street 1:856 SWEETEN CREEK RD STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1584
Practice Address - Country:US
Practice Address - Phone:828-252-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7072237600000X
NC1185231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter