Provider Demographics
NPI:1518694397
Name:KORBELIK, MEGAN ALEXANDRA (AUD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ALEXANDRA
Last Name:KORBELIK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PYSHON RD
Mailing Address - Street 2:
Mailing Address - City:ANGELS CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95222-8900
Mailing Address - Country:US
Mailing Address - Phone:209-890-9920
Mailing Address - Fax:
Practice Address - Street 1:20325 N 51ST AVE STE 154
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-4622
Practice Address - Country:US
Practice Address - Phone:623-227-1924
Practice Address - Fax:623-738-3913
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty