Provider Demographics
NPI:1023208279
Name:ERKLAUER, PETER J (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:J
Last Name:ERKLAUER
Suffix:
Gender:M
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-4937
Mailing Address - Country:US
Mailing Address - Phone:401-952-4160
Mailing Address - Fax:401-228-6764
Practice Address - Street 1:124 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-4937
Practice Address - Country:US
Practice Address - Phone:401-952-4160
Practice Address - Fax:401-228-6764
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00698235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist