Provider Demographics
NPI:1407001985
Name:WATERMAN, CORINNE RENEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:RENEE
Last Name:WATERMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:RENEE
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8737 BROOKS DR STE 204
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7475
Mailing Address - Country:US
Mailing Address - Phone:410-820-9826
Mailing Address - Fax:866-643-0046
Practice Address - Street 1:8737 BROOKS DR STE 204
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7475
Practice Address - Country:US
Practice Address - Phone:410-820-9826
Practice Address - Fax:866-643-0046
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01241237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter