Provider Demographics
NPI:1144477878
Name:NEUZIL, BRANDI L (AUD)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:L
Last Name:NEUZIL
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 1:603 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:WAUKON
Mailing Address - State:IA
Mailing Address - Zip Code:52172-1215
Mailing Address - Country:US
Mailing Address - Phone:563-284-2008
Mailing Address - Fax:
Practice Address - Street 1:27 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-1629
Practice Address - Country:US
Practice Address - Phone:563-284-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000704231H00000X
WI537-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist