Provider Demographics
NPI:1649377748
Name:WEGE, BEATRIZ OLGA (AUD)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:OLGA
Last Name:WEGE
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 1:8952 E DESERT COVE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6775
Mailing Address - Country:US
Mailing Address - Phone:480-273-8688
Mailing Address - Fax:480-273-8689
Practice Address - Street 1:8952 E DESERT COVE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6775
Practice Address - Country:US
Practice Address - Phone:480-273-8688
Practice Address - Fax:480-273-8689
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA5111231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist