# LINDA CHARLEBOIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679819817
- **Gender:** F
- **Credential:** MS, CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23002524A | IN | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 23002524A | IN | — |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 09/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000798626 | ANTHEM PROVIDER NUMBER | IN |
| 05 | — | 201126970 | — | IN |
