Olson, Judith Marquess

Olson, Judith Marquess is an individual health care provider with primary practice located at 750 Park East Blvd Ste 3 , Lafayette IN 47905. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Olson, Judith Marquess can be contacted via phone (765) 771-7109.

Contact Information

Primary practice address
750 Park East Blvd Ste 3 Lafayette IN 47905
Phone: (765) 771-7109
Fax: (765) 770-8668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 1981 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU 1981 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002471A Indiana

Profile Details

NPI number 1265574404
LBN Legal business name Olson, Judith Marquess
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jun 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265574404 NPPES
Indiana MEDICAID 200984380

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