Provider Demographics
NPI:1730857095
Name:ALLEN, ERRIN CASSIDY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ERRIN
Middle Name:CASSIDY
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 QUAIL TRL
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-1121
Mailing Address - Country:US
Mailing Address - Phone:903-830-5620
Mailing Address - Fax:
Practice Address - Street 1:400 N WALL ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-3143
Practice Address - Country:US
Practice Address - Phone:254-316-5208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113919235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist