Provider Demographics
NPI:1184817181
Name:COX, CHRISTOPHER W (MSCCC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:COX
Suffix:
Gender:M
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 S 4TH AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8573
Mailing Address - Country:US
Mailing Address - Phone:928-344-1556
Mailing Address - Fax:928-317-3093
Practice Address - Street 1:2450 S 4TH AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8573
Practice Address - Country:US
Practice Address - Phone:928-344-1556
Practice Address - Fax:928-317-3093
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1870231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist