| Doctor Name: | MR. ERIK THOMAS UNDZIUS |
| NPI Number: | 1093157935 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., CCC-SLP/L |
| License Number: | SL011128 |
| Business Practice Address: | 13010 Ne 20th St Suite 300 Bellevue, WA - 980052034 |
| Business Phone Number: | 4256446328 |
| Business Fax Number: | 4256446295 |
| Mailing Address: | 1337b 14th Ave S, SEATTLE |
| State: | WA |
| Postal Code: | 981443409 |
| Phone Number: | 8146886270 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2013 |
| NPI Last Update Date: | 07/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL011128 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| 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 |