| Doctor Name: | ERICA ELWELL |
| NPI Number: | 1225407034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SLPL6005 |
| Business Practice Address: | 88 E Lupine Pl San Tan Valley, AZ - 851437553 |
| Business Phone Number: | 4803292567 |
| Business Fax Number: | |
| Mailing Address: | 88 E Lupine Pl, SAN TAN VALLEY |
| State: | AZ |
| Postal Code: | 851437553 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2015 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SLPL6005 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |