Doctor Name: | ERIN JACARUSO LEVENTHAL |
NPI Number: | 1225170913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 5880 |
Business Practice Address: | 1313 Carolina St Suite 100 Greensboro, NC - 274016000 |
Business Phone Number: | 3363704070 |
Business Fax Number: | 3363709008 |
Mailing Address: | 1313 Carolina St, Suite 100 GREENSBORO |
State: | NC |
Postal Code: | 274016000 |
Phone Number: | 3363704070 |
Fax Number: | 3363709008 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |