Provider Demographics
NPI:1942503362
Name:RAY, PATRICIA NICOLE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:NICOLE
Last Name:RAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:NICOLE
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:13430 N MERIDIAN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13430 N MERIDIAN ST STE 204
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1484
Practice Address - Country:US
Practice Address - Phone:317-582-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002490A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist