Doctor Name: | MRS. ERIN WILLIS |
NPI Number: | 1013228634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 48 W 74th St New York, NY - 100232401 |
Business Phone Number: | 2127218888 |
Business Fax Number: | |
Mailing Address: | 100 Winthrop St, Apt. 5e BROOKLYN |
State: | NY |
Postal Code: | 112256072 |
Phone Number: | 3022421751 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |