Doctor Name: | MS. JODEEN ERFURT |
NPI Number: | 1992109573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP4163 |
Business Practice Address: | 117 Columbus Rd Fredericktown, OH - 430191272 |
Business Phone Number: | 7406942781 |
Business Fax Number: | |
Mailing Address: | 138 Ridgewood Blvd, MANSFIELD |
State: | OH |
Postal Code: | 449072032 |
Phone Number: | 4197569409 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP4163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |