Provider Demographics
NPI:1922011626
Name:DODD-MURPHY, JEANNE (PHD, CCCIA, FAAA)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:DODD-MURPHY
Suffix:
Gender:F
Credentials:PHD, CCCIA, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT OF LRE BOX 32085
Mailing Address - Street 2:APPALACHIAN STATE UNIVERSITY
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28608-2085
Mailing Address - Country:US
Mailing Address - Phone:828-262-6075
Mailing Address - Fax:282-262-6766
Practice Address - Street 1:730 RIVERS STREET
Practice Address - Street 2:EDWIN DUNCAN HALL ROOM 114
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28605-2041
Practice Address - Country:US
Practice Address - Phone:828-262-2185
Practice Address - Fax:828-262-6766
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3644231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7411013Medicaid
13475OtherBLUE CROSS BLUE SHIELD
NC7411013Medicaid