Provider Demographics
NPI:1992001531
Name:BICKLEY, NATALIE MURPHY (AUD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:MURPHY
Last Name:BICKLEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:JEANNE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1 INDEPENDENCE PT STE 212
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 MEDICAL PKWY STE 250
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650
Practice Address - Country:US
Practice Address - Phone:864-797-9080
Practice Address - Fax:864-797-9085
Is Sole Proprietor?:No
Enumeration Date:2011-01-30
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3920231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ375705449Medicare PIN