Provider Demographics
NPI:1427498526
Name:MCCORMICK, KARA BROOKE (AUD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:BROOKE
Last Name:MCCORMICK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:BROOKE
Other - Last Name:MOUZIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:12500 HIGHWAY 41 N STE 6
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7031
Mailing Address - Country:US
Mailing Address - Phone:812-425-1500
Mailing Address - Fax:812-425-0587
Practice Address - Street 1:12500 HIGHWAY 41 N STE 6
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-7031
Practice Address - Country:US
Practice Address - Phone:812-425-1500
Practice Address - Fax:812-425-0587
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002663A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty