Provider Demographics
NPI:1609933886
Name:BRIZZEE, ERIK W (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:W
Last Name:BRIZZEE
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 E BANNER GATEWAY DR APT 1007
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4749
Mailing Address - Country:US
Mailing Address - Phone:857-272-2872
Mailing Address - Fax:
Practice Address - Street 1:11000 N SCOTTSDALE RD STE 165
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5104
Practice Address - Country:US
Practice Address - Phone:602-910-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA836231H00000X
AZDA11717231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist