Provider Demographics
NPI:1063410199
Name:SCHAFFER, CYNTHIA ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 BARRETT DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6618
Mailing Address - Country:US
Mailing Address - Phone:919-783-8751
Mailing Address - Fax:919-783-8753
Practice Address - Street 1:4002 BARRETT DR
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6618
Practice Address - Country:US
Practice Address - Phone:919-783-8751
Practice Address - Fax:919-783-8753
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3704231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12615OtherBLUE CROSS BLUE SHIELD NC
NC89241OtherMEDCOST PREFERRED
NC12615OtherBLUE CROSS BLUE SHIELD NC