Individual
CARRIE LEIGH LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PATEWOOD DR STE B400, GREENVILLE, SC 29615-6306
(864) 454-4368
(864) 241-9232
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1119
MA
231H00000X
Audiologist
1607011
NC
231H00000X
Audiologist
Primary
4195
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/19/2015
Last updated
10/21/2022
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