Provider Demographics
NPI:1104369180
Name:COLOMBO HUGHES, JOANNE MARIE (MA AUDIOLOGY)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARIE
Last Name:COLOMBO HUGHES
Suffix:
Gender:F
Credentials:MA AUDIOLOGY
Other - Prefix:MS
Other - First Name:JOANNE
Other - Middle Name:MARIE
Other - Last Name:COLOMBO HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA AUDIOLOGY
Mailing Address - Street 1:4818 S 76TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4362
Mailing Address - Country:US
Mailing Address - Phone:414-281-8300
Mailing Address - Fax:414-455-0159
Practice Address - Street 1:4818 S 76TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4362
Practice Address - Country:US
Practice Address - Phone:414-281-8300
Practice Address - Fax:414-455-0159
Is Sole Proprietor?:No
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI174-156237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter