Provider Demographics
NPI:1639176811
Name:EARLE, CYNTHIA BOWMAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:BOWMAN
Last Name:EARLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1734
Mailing Address - Country:US
Mailing Address - Phone:828-277-5677
Mailing Address - Fax:828-277-8884
Practice Address - Street 1:900 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1734
Practice Address - Country:US
Practice Address - Phone:828-277-5677
Practice Address - Fax:828-277-8884
Is Sole Proprietor?:No
Enumeration Date:2005-07-04
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1007231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1184808735OtherASHEVILLE AUDIOLOGY NPI
NC29901OtherBCBS OF NORTH CAROLINA
NC1639176811OtherCYNTHIA EARLE NPI
NC7411704Medicaid
NC2520972Medicare PIN