Doctor Name: | ERICA EVETTE BILLUPS |
NPI Number: | 1508939273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 1863 |
Business Practice Address: | 620 Thompson Ave West Memphis, AR - 723013257 |
Business Phone Number: | 8707024911 |
Business Fax Number: | 8707026386 |
Mailing Address: | 5938 Stafford Dr, SOUTHAVEN |
State: | MS |
Postal Code: | 386716804 |
Phone Number: | 6625360332 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |