Doctor Name: | MRS. JOAN L. EHRSTEIN |
NPI Number: | 1083053870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP, IPLA |
License Number: | 22001805A |
Business Practice Address: | 275 S State Road 49 Valparaiso, IN - 463837976 |
Business Phone Number: | 2194651934 |
Business Fax Number: | |
Mailing Address: | 275 South State Road 49, VALPARAISO |
State: | IN |
Postal Code: | 46383 |
Phone Number: | 2194651934 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2013 |
NPI Last Update Date: | 06/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22001805A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |