Provider Demographics
NPI:1134192818
Name:DUNN, ANDREA HILLOCK (AUD, PHD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:HILLOCK
Last Name:DUNN
Suffix:
Gender:F
Credentials:AUD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SAINT MARYS ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2249
Mailing Address - Country:US
Mailing Address - Phone:215-990-8433
Mailing Address - Fax:
Practice Address - Street 1:321 SOUTH COLUMBIA ST
Practice Address - Street 2:3123 BONDURANT HALL, CB 7190
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-9468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-11
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9282231H00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program