Provider Demographics
NPI:1952572133
Name:MYERS, AMY M (AUD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:MYERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:M
Other - Last Name:DAUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1126 N CHURCH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1000
Mailing Address - Country:US
Mailing Address - Phone:336-273-9932
Mailing Address - Fax:336-273-9936
Practice Address - Street 1:1126 N CHURCH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1000
Practice Address - Country:US
Practice Address - Phone:336-273-9932
Practice Address - Fax:336-273-9936
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5393231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist