Mary Erickson MS, CCC-SLP

NPI 1629243720 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1629243720
Gender Female
Enumeration Date 04/29/2008
Last Updated 09/21/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
10089 BRANDSTEADE CT
UNION KY, 41091-8669, US
Phone (859) 496-7788
Fax (859) 384-2775
Business Location
10089 BRANDSTEADE CT
UNION KY, 41091-8669, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Kentucky
License Number 3676
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According to our database, Mary Erickson MS, CCC-SLP NPI is 1629243720, taxonomy code is 235Z00000X and license number is 3676, license state is located at Kentucky. Mary Erickson MS, CCC-SLP physically located at 10089 Brandsteade Ct, Union KY, 41091-8669. NPI Number Mary Erickson MS, CCC-SLP has the Individual type.

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1629243720 NPI number is provided on an as is basis without warranty of any kind. 1629243720 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Erickson MS, CCC-SLP are for informational purposes only.