| Doctor Name: | MRS. ERIN FARRELL |
| NPI Number: | 1114290806 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP |
| License Number: | 021697-1 |
| Business Practice Address: | 3028 Oak St Mohegan Lake, NY - 105471825 |
| Business Phone Number: | 9144691280 |
| Business Fax Number: | 9146620536 |
| Mailing Address: | Po Box 995, YORKTOWN HEIGHTS |
| State: | NY |
| Postal Code: | 105980995 |
| Phone Number: | 9142412727 |
| Fax Number: | 9142439573 |
| NPI Enumeration Date: | 02/11/2012 |
| NPI Last Update Date: | 02/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 021697-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |