Provider Demographics
NPI:1124265962
Name:SYMMONETT, ANYA C (MA)
Entity type:Individual
Prefix:MS
First Name:ANYA
Middle Name:C
Last Name:SYMMONETT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 9TH ST
Mailing Address - Street 2:AUDIOLOGY
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2533
Mailing Address - Country:US
Mailing Address - Phone:980-343-5455
Mailing Address - Fax:980-343-5229
Practice Address - Street 1:401 E 9TH ST
Practice Address - Street 2:AUDIOLOGY
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2533
Practice Address - Country:US
Practice Address - Phone:980-343-5455
Practice Address - Fax:980-343-5229
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2884231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist