Individual
JENNY DAVIES HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCCA
Contact information
Practice address
3820 ED DR, RALEIGH, NC 27612-8037
(919) 782-9003
(919) 782-9303
Mailing address
3820 ED DR, RALEIGH, NC 27612-8037
(919) 782-9003
(919) 782-9303
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3805
NC
231HA2400X
Assistive Technology Practitioner Audiologist
3805
NC
231HA2500X
Assistive Technology Supplier Audiologist
3805
NC
235500000X
Speech/Language/Hearing Specialist/Technologist
3805
NC
237600000X
Audiologist-Hearing Aid Fitter
3805
NC
237700000X
Hearing Instrument Specialist
3805
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001501
—
NC
Enumeration date
03/09/2006
Last updated
03/27/2017
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