Provider Demographics
NPI:1184808735
Name:ASHEVILLE AUDIOLOGY SERVICES, PLLC
Entity type:Organization
Organization Name:ASHEVILLE AUDIOLOGY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:EARLE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:828-277-5677
Mailing Address - Street 1:900 HENDERSONVILLE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1763
Mailing Address - Country:US
Mailing Address - Phone:828-277-5677
Mailing Address - Fax:828-277-8884
Practice Address - Street 1:900 HENDERSONVILLE RD STE 105
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1763
Practice Address - Country:US
Practice Address - Phone:828-277-5677
Practice Address - Fax:828-277-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1007231HA2400X, 231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1639176811OtherNPI
NC29901OtherBCBS OF NORTH CAROLINA
NC7210891Medicaid
NC2520972Medicare PIN