Provider Demographics
NPI:1437523545
Name:COX, MICHAEL (AUD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 PEBBLE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE POINT
Mailing Address - State:UT
Mailing Address - Zip Code:84074-9243
Mailing Address - Country:US
Mailing Address - Phone:801-688-0762
Mailing Address - Fax:801-912-4327
Practice Address - Street 1:1580 W ANTELOPE DR STE 200
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1200
Practice Address - Country:US
Practice Address - Phone:801-508-4327
Practice Address - Fax:801-912-4327
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-1557231H00000X
UT375467-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist