Provider Demographics
NPI:1548460116
Name:THOMPSON, ANDREA LAMENDOLA (AUD,CCC-A)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LAMENDOLA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:AUD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 PROVIDENCE PARK DR E
Mailing Address - Street 2:BLDG. 2 SUITE 202
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4622
Mailing Address - Country:US
Mailing Address - Phone:251-633-2667
Mailing Address - Fax:251-633-2179
Practice Address - Street 1:610 PROVIDENCE PARK DR E
Practice Address - Street 2:BLDG. 2 SUITE 202
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4622
Practice Address - Country:US
Practice Address - Phone:251-633-2667
Practice Address - Fax:251-633-2179
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL 970-A237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter