Provider Demographics
NPI:1154060150
Name:ALLEN, ERIN (MS, SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 HEATHERLOCK ST
Mailing Address - Street 2:
Mailing Address - City:HANAHAN
Mailing Address - State:SC
Mailing Address - Zip Code:29410-4771
Mailing Address - Country:US
Mailing Address - Phone:703-307-1441
Mailing Address - Fax:
Practice Address - Street 1:127 HEATHERLOCK ST
Practice Address - Street 2:
Practice Address - City:HANAHAN
Practice Address - State:SC
Practice Address - Zip Code:29410-4771
Practice Address - Country:US
Practice Address - Phone:703-307-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist