Provider Demographics
NPI:1114290806
Name:FARRELL, ERIN (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 995
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-0995
Mailing Address - Country:US
Mailing Address - Phone:914-241-2727
Mailing Address - Fax:914-243-9573
Practice Address - Street 1:3028 OAK ST
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1825
Practice Address - Country:US
Practice Address - Phone:914-469-1280
Practice Address - Fax:914-662-0536
Is Sole Proprietor?:No
Enumeration Date:2012-02-11
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021697-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist