Provider Demographics
NPI:1407081029
Name:COLBURN, MARGAUX Y (AUD)
Entity Type:Individual
Prefix:
First Name:MARGAUX
Middle Name:Y
Last Name:COLBURN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MARGAUX
Other - Middle Name:
Other - Last Name:LEMBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD FAAA
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:STE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:8015 SHOAL CREEK BLVD
Practice Address - Street 2:STE 122
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-8066
Practice Address - Country:US
Practice Address - Phone:512-600-8090
Practice Address - Fax:512-600-8091
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80172231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345855YVKLMedicare PIN