Provider Demographics
NPI:1447716923
Name:GREENWALD, TROY (HAS)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:
Last Name:GREENWALD
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 ROYAL TROON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-5869
Mailing Address - Country:US
Mailing Address - Phone:423-480-7390
Mailing Address - Fax:919-701-6204
Practice Address - Street 1:8811 ELLSTREE LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-2044
Practice Address - Country:US
Practice Address - Phone:919-329-2711
Practice Address - Fax:919-701-6214
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1474237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist