Provider Demographics
NPI:1649822065
Name:RESENDIZ, ERIKKA (AUD)
Entity type:Individual
Prefix:DR
First Name:ERIKKA
Middle Name:
Last Name:RESENDIZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ERIKKA
Other - Middle Name:
Other - Last Name:GATTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:460 CREAMERY WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2533
Mailing Address - Country:US
Mailing Address - Phone:610-384-8300
Mailing Address - Fax:
Practice Address - Street 1:460 CREAMERY WAY STE 103
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2533
Practice Address - Country:US
Practice Address - Phone:610-384-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006631231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist