Individual
CORINNE BOODOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-A, FAAA
Contact information
Practice address
2789 CLAIRMONT RD NE, ATLANTA, GA 30329-2700
(770) 493-8430
(770) 493-8433
Mailing address
3939 LAVISTA RD STE E390, TUCKER, GA 30084-5162
(770) 493-8430
(770) 493-8433
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1772
GA
237600000X
Audiologist-Hearing Aid Fitter
1772
GA
237700000X
Hearing Instrument Specialist
1772
GA
Other
Enumeration date
08/23/2006
Last updated
09/17/2014
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