Provider Demographics
NPI:1548508948
Name:KUX, ERIN M (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:KUX
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8208 STILLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7635
Mailing Address - Country:US
Mailing Address - Phone:512-994-0523
Mailing Address - Fax:
Practice Address - Street 1:8208 STILLWOOD LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-7635
Practice Address - Country:US
Practice Address - Phone:512-994-0523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist