Provider Demographics
NPI:1619389400
Name:THOMAS, ERIN ELIZABETH (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:THOMAS
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 1:1101 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:SHADE
Mailing Address - State:OH
Mailing Address - Zip Code:45776-9670
Mailing Address - Country:US
Mailing Address - Phone:740-941-9324
Mailing Address - Fax:
Practice Address - Street 1:1101 CARTER RD
Practice Address - Street 2:
Practice Address - City:SHADE
Practice Address - State:OH
Practice Address - Zip Code:45776-9670
Practice Address - Country:US
Practice Address - Phone:740-941-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 10497235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist