Provider Demographics
NPI:1194004598
Name:DILLON, ERIN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:DILLON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GARFIELD AVE
Mailing Address - Street 2:CAMDEN-CLARK MEDICAL CENTER- REHABILITATION DEPT.
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5340
Mailing Address - Country:US
Mailing Address - Phone:304-424-2645
Mailing Address - Fax:304-424-2720
Practice Address - Street 1:800 GARFIELD AVE
Practice Address - Street 2:CAMDEN-CLARK MEDICAL CENTER- REHABILITATION DEPT.
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5340
Practice Address - Country:US
Practice Address - Phone:304-424-2645
Practice Address - Fax:304-424-2720
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1328235Z00000X
OH10004235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist