Provider Demographics
NPI:1053048728
Name:GLICK, BRITTANY (AUD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:GLICK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:GLICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:3202 W ANDERSON LN STE 208
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1035
Mailing Address - Country:US
Mailing Address - Phone:512-879-3993
Mailing Address - Fax:512-920-5462
Practice Address - Street 1:1550 S POTOMAC ST STE 305
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5433
Practice Address - Country:US
Practice Address - Phone:303-369-1096
Practice Address - Fax:303-369-1097
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0001159231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist