| Doctor Name: | CORINNE BOODOO |
| NPI Number: | 1972610327 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S, CCC-A, FAAA |
| License Number: | 1772 |
| Business Practice Address: | 2789 Clairmont Rd Ne Atlanta, GA - 303292700 |
| Business Phone Number: | 7704938430 |
| Business Fax Number: | 7704938433 |
| Mailing Address: | 3939 Lavista Rd Ste E390, TUCKER |
| State: | GA |
| Postal Code: | 300845162 |
| Phone Number: | 7704938430 |
| Fax Number: | 7704938433 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 09/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 1772 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |