Provider Demographics
NPI:1104667492
Name:REYNOLDS, ALISON MARIE (AUD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MARIE
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
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Mailing Address - Street 1:5041 EXECUTIVE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2507
Mailing Address - Country:US
Mailing Address - Phone:252-773-0636
Mailing Address - Fax:877-771-3406
Practice Address - Street 1:940 SE CARY PKWY STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7417
Practice Address - Country:US
Practice Address - Phone:919-626-2998
Practice Address - Fax:877-771-3406
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC30002901237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter