Provider Demographics
NPI:1235214800
Name:WALKER, ERIN M (AUD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:WALKER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9046 E SAHUARO DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4509
Mailing Address - Country:US
Mailing Address - Phone:480-265-7096
Mailing Address - Fax:417-256-5040
Practice Address - Street 1:9046 E SAHUARO DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-4509
Practice Address - Country:US
Practice Address - Phone:480-265-7096
Practice Address - Fax:417-256-5040
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003013937231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO339197907Medicaid