Provider Demographics
NPI:1043616261
Name:ZEMBA, ERIN MAE (AUD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MAE
Last Name:ZEMBA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15416 LAKEWOOD HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-5507
Mailing Address - Country:US
Mailing Address - Phone:330-285-7547
Mailing Address - Fax:
Practice Address - Street 1:15416 LAKEWOOD HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-5507
Practice Address - Country:US
Practice Address - Phone:330-285-7547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-16
Last Update Date:2014-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01929231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist