Provider Demographics
NPI:1164208450
Name:BILLINGS, ERIN SUE (MS SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:SUE
Last Name:BILLINGS
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 1:3925 250TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-9768
Mailing Address - Country:US
Mailing Address - Phone:801-310-0223
Mailing Address - Fax:
Practice Address - Street 1:3925 250TH AVE
Practice Address - Street 2:
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-9768
Practice Address - Country:US
Practice Address - Phone:801-310-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087429235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist