Provider Demographics
NPI:1619187291
Name:COZZI, ELIZABETH (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:COZZI
Suffix:
Gender:F
Credentials:MS, 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:ST. JOSEPH'S HOSPITAL
Mailing Address - Street 2:350 NORTH WILMOT ROAD
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-873-3962
Mailing Address - Fax:520-873-5062
Practice Address - Street 1:ST. JOSEPH'S HOSPITAL
Practice Address - Street 2:350 NORTH WILMOT ROAD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711
Practice Address - Country:US
Practice Address - Phone:520-873-3962
Practice Address - Fax:520-873-5062
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1915231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ938110Medicaid