Provider Demographics
NPI:1548650708
Name:ENGELKES, CHRISTOPHER BRIAN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRIAN
Last Name:ENGELKES
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-775-3333
Mailing Address - Fax:520-775-3334
Practice Address - Street 1:6340 N CAMPBELL AVE STE 256
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-3186
Practice Address - Country:US
Practice Address - Phone:520-775-3333
Practice Address - Fax:520-775-3334
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA9874231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80763OtherTEXAS AUDIOLOGY LICENSE
AZDA9874OtherARIZONA AUDIOLOGY LICENSURE
14153348OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSCOCIATION