Marie Therese-Birnbaum Frazer, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2540 Issued in CA

Practice address

3350 La Jolla Village Dr
Audiology/Speech Language Pathology
San Diego, CA 92161-0002

Phone

(408) 510-0088

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marie Therese Birnbaum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1619039377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "address_2": "AUDIOLOGY/SPEECH LANGUAGE PATHOLOGY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "408-510-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "address_2": "AUDIOLOGY/SPEECH LANGUAGE PATHOLOGY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "408-510-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "MARIE",
        "middle_name": "THERESE-BIRNBAUM",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BIRNBAUM",
            "middle_name": "THERESE",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Frausto
• Joanna Margarita Frausto, NUTRITIONIST/ HEALTH
• Patricia Lynn Frazao, LCSW
• Victor Almeida Frazao, PH.D.
• Jeffrey Robert Frazer, M.D.
• Bryan Frazier
• Destiny Ayanna Frazier
• Jean Marie Frazier, REGISTERED NURSE
• Suzanne Maureen Frazier, D.C.
• Fred Finch Youth Center

• Audiologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.