Provider Demographics
NPI:1437621919
Name:BIZER-COX, ELIZABETH ANNA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNA
Last Name:BIZER-COX
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38410 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3270
Mailing Address - Country:US
Mailing Address - Phone:734-326-1200
Mailing Address - Fax:734-326-8305
Practice Address - Street 1:38410 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3270
Practice Address - Country:US
Practice Address - Phone:734-326-1200
Practice Address - Fax:734-326-8305
Is Sole Proprietor?:No
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101005160235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14130469OtherAMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION CERTIFICATE CLINICAL COMPETENCE