Provider Demographics
NPI:1790462240
Name:BOLE, ANABELLE (AUD)
Entity Type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:BOLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ANABELLE
Other - Middle Name:
Other - Last Name:BOLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANABELLE BOLE, AUD
Mailing Address - Street 1:907 SHELLEY AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4811
Mailing Address - Country:US
Mailing Address - Phone:512-921-9202
Mailing Address - Fax:
Practice Address - Street 1:9010 N LAKE CREEK PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-6217
Practice Address - Country:US
Practice Address - Phone:737-707-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81652231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist