Provider Demographics
NPI:1801152061
Name:DRZEWIECKI, ELIZABETH TUDOR (MA)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:TUDOR
Last Name:DRZEWIECKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-2503
Mailing Address - Country:US
Mailing Address - Phone:303-802-7449
Mailing Address - Fax:
Practice Address - Street 1:2001 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-2503
Practice Address - Country:US
Practice Address - Phone:303-802-7449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist