Provider Demographics
NPI:1225264658
Name:FERNANDEZ, ELIZABETH A (AUD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE. 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:314-996-4790
Mailing Address - Fax:314-996-4792
Practice Address - Street 1:3009 N BALLAS RD
Practice Address - Street 2:STE. 351C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2322
Practice Address - Country:US
Practice Address - Phone:314-996-4790
Practice Address - Fax:314-996-4792
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2012-02-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter