Provider Demographics
NPI:1033537535
Name:SCHWARTZ, ERICA (MS, CF- SLP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MS, CF- SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 NE 4TH AVE
Mailing Address - Street 2:UNIT 512
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3467
Mailing Address - Country:US
Mailing Address - Phone:954-790-9151
Mailing Address - Fax:
Practice Address - Street 1:440 NE 4TH AVE
Practice Address - Street 2:UNIT 512
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3467
Practice Address - Country:US
Practice Address - Phone:954-790-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6451235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist