Provider Demographics
NPI:1205890852
Name:GUZIK, HEIDI (AUD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:GUZIK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 POST ROAD SUITE 302
Mailing Address - Street 2:RICHARD LEVIN MD & LAWRENCE J. FLIEGELMON MD LLC
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824
Mailing Address - Country:US
Mailing Address - Phone:203-259-4700
Mailing Address - Fax:203-259-0328
Practice Address - Street 1:1305 POST ROAD SUITE 302
Practice Address - Street 2:RICHARD LEVIN MD & LAWRENCE J. FLIEGELMON MD LLC
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824
Practice Address - Country:US
Practice Address - Phone:203-259-4700
Practice Address - Fax:203-259-0328
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI394231H00000X
CT000571231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41145000Medicaid
WI60646OtherDEAN HEALTH INSURANCE
WIP00679107Medicare PIN
WI60646OtherDEAN HEALTH INSURANCE
WI038A74150Medicare PIN