Provider Demographics
NPI:1124231675
Name:HARRISON, ERIN EILEEN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:EILEEN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:EILEEN
Other - Last Name:MAIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1943 FARROW DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-7704
Mailing Address - Country:US
Mailing Address - Phone:803-230-2141
Mailing Address - Fax:
Practice Address - Street 1:1943 FARROW DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-7704
Practice Address - Country:US
Practice Address - Phone:803-230-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3911235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist