Provider Demographics
NPI:1497531495
Name:BRIXEY, EVELYN KATE (BS)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:KATE
Last Name:BRIXEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23709 SPRING OAK PL
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6062
Mailing Address - Country:US
Mailing Address - Phone:760-710-1615
Mailing Address - Fax:
Practice Address - Street 1:27192 NEWPORT RD STE 1
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7387
Practice Address - Country:US
Practice Address - Phone:951-566-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79922355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant