Provider Demographics
NPI:1205003456
Name:NOVO, ERIN LEIGH (AUD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:NOVO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LEIGH
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:410 CELEBRATION PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5433
Mailing Address - Country:US
Mailing Address - Phone:321-939-3000
Mailing Address - Fax:321-939-3001
Practice Address - Street 1:410 CELEBRATION PL
Practice Address - Street 2:SUITE 100
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5433
Practice Address - Country:US
Practice Address - Phone:321-939-3000
Practice Address - Fax:321-939-3001
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1420231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist