Provider Demographics
NPI:1073537544
Name:PERSON, ERICA LYNN (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:PERSON
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LYNN
Other - Last Name:FLECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:401 W EADS PKWY STE 410
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1374
Mailing Address - Country:US
Mailing Address - Phone:812-532-3011
Mailing Address - Fax:
Practice Address - Street 1:401 W EADS PKWY STE 410
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1374
Practice Address - Country:US
Practice Address - Phone:812-532-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002616A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter