Individual
MS. MARYBETH SCHERER CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
302 LILLINGTON AVENUE, CHARLOTTE, NC 28211-5400
(704) 295-3300
(704) 295-3468
Mailing address
302 LILLINGTON AVENUE, HEARUSA, CHARLOTTE, NC 28211-5400
(704) 332-1574
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6585
NC
237600000X
Audiologist-Hearing Aid Fitter
1184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009361225
AETNA
—
01
—
1618N
BCBSNC
NC
01
—
4108944
CIGNA
NC
05
—
7413292
—
NC
05
—
SAN072
—
SC
Enumeration date
03/27/2008
Last updated
03/12/2013
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