Healthcare Provider Details

I. General information

NPI: 1750940656
Provider Name (Legal Business Name): ABBEY L DURCHHOLZ AUD. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBEY L SCHMITT

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 PROFESSIONAL BLVD
EVANSVILLE IN
47714-8014
US

IV. Provider business mailing address

1401 PROFESSIONAL BLVD
EVANSVILLE IN
47714-8014
US

V. Phone/Fax

Practice location:
  • Phone: 812-473-2060
  • Fax: 812-473-0763
Mailing address:
  • Phone: 812-473-2060
  • Fax: 812-473-0763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601001010
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number275325
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number23002701A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: