MEDICARE: COLLEEN M WATSON M.S., CCA-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	23002114A	IN

General Provider Information

NPI Number	:	1881896702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN M WATSON M.S., CCA-A

Provider Business Mailing Address
First Line	:	9002 N MERIDIAN ST STE 222
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5350
Country	:	US
Telephone Number	:	317-844-7059
Fax Number	:	317-819-0044

Provider Business Practice Location Address
First Line	:	5255 E STOP 11 RD STE 400
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-6341
Country	:	US
Telephone Number	:	317-844-7059
Fax Number	:	317-819-0044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	03/04/2026

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