Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Courtney Nicole Wallace, AUD, CCC-A, F/AAA

Individual provider Audiologist · NPI 1508396789

Dr. Courtney Nicole Wallace, AUD, CCC-A, F/AAA is an Audiologist in Minneapolis, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

2530 Chicago Ave Ste 450
Minneapolis, MN 55404-4127
Phone: (612) 813-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1508396789
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD , CCC-A , F/AAA
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJuly 21, 2022

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