Provider Demographics
NPI:1134655822
Name:COLLINS, ERIN E (MA, CF/SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA, CF/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8564 JEFFERSON HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2197
Mailing Address - Country:US
Mailing Address - Phone:225-636-5410
Mailing Address - Fax:225-636-5411
Practice Address - Street 1:8564 JEFFERSON HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2197
Practice Address - Country:US
Practice Address - Phone:225-636-5410
Practice Address - Fax:225-636-5411
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist