Individual
JUDITH ANN CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
1629 MEDICAL ARTS BLVD, SUITE 200, ANDERSON, IN 46011-3454
(765) 298-4460
(765) 298-4999
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001410A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201383070
—
IN
Enumeration date
07/02/2012
Last updated
04/13/2017
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