Provider Demographics
NPI:1689893059
Name:SELL, EVELYN BARBARA (MS,CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:BARBARA
Last Name:SELL
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:209 LEICESTER RD
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-9145
Mailing Address - Country:US
Mailing Address - Phone:219-924-1470
Mailing Address - Fax:219-933-2158
Practice Address - Street 1:5454 S HOHMAN AVE
Practice Address - Street 2:AUDIOLOGY DEPT 1ST FLOOR
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1931
Practice Address - Country:US
Practice Address - Phone:219-933-2299
Practice Address - Fax:219-933-2158
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN23002365A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN23002365AOtherAUDIOLOGY