Provider Demographics
NPI:1538363858
Name:MCKENZIE, BERNICE (AUD)
Entity type:Individual
Prefix:DR
First Name:BERNICE
Middle Name:
Last Name:MCKENZIE
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 1:255 CHIPPAWA ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N9C 4G4
Mailing Address - Country:CA
Mailing Address - Phone:519-253-5692
Mailing Address - Fax:519-256-6006
Practice Address - Street 1:255 CHIPPAWA ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:ONTARIO
Practice Address - Zip Code:N9C 4G4
Practice Address - Country:CA
Practice Address - Phone:519-253-5692
Practice Address - Fax:519-256-6006
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter