Provider Demographics
NPI:1487929154
Name:BRICKNER, VALERIE RENEE (AUD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:RENEE
Last Name:BRICKNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:RENEE
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1450 FARR RD STE 5000
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-7789
Mailing Address - Country:US
Mailing Address - Phone:231-739-9095
Mailing Address - Fax:231-739-6439
Practice Address - Street 1:1450 FARR RD
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-9770
Practice Address - Country:US
Practice Address - Phone:231-777-2625
Practice Address - Fax:231-773-8560
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000666231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist