Provider Demographics
NPI:1235509654
Name:WINNETT, EREK ROY (AUD)
Entity Type:Individual
Prefix:
First Name:EREK
Middle Name:ROY
Last Name:WINNETT
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:EREK
Other - Middle Name:
Other - Last Name:WINNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:5349 ADAMS AVE PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-4736
Mailing Address - Country:US
Mailing Address - Phone:801-479-3346
Mailing Address - Fax:801-479-0725
Practice Address - Street 1:1136 E DRAPER PKWY
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9095
Practice Address - Country:US
Practice Address - Phone:385-274-2586
Practice Address - Fax:801-432-8101
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6945696-4101231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter