Provider Demographics
NPI:1700036761
Name:GANCE, ROBERT A (AUD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:GANCE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-3298
Mailing Address - Country:US
Mailing Address - Phone:828-456-6666
Mailing Address - Fax:828-456-8666
Practice Address - Street 1:33 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3298
Practice Address - Country:US
Practice Address - Phone:828-456-6666
Practice Address - Fax:828-456-8666
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9433237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter