Individual
TOMMI MICHELLE GRAY STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
1016 2ND AVE N STE 102, NORTH MYRTLE BEACH, SC 29582-3287
(843) 732-6090
(843) 491-3573
Mailing address
1016 2ND AVE N STE 102, NORTH MYRTLE BEACH, SC 29582-3287
(843) 732-6090
(843) 491-3573
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3410
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1158
—
SC
Enumeration date
05/20/2008
Last updated
01/29/2025
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