Provider Demographics
NPI:1235348756
Name:BOZEAT, ERIN REBECCA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:REBECCA
Last Name:BOZEAT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W HORIZON RIDGE PKWY UNIT 6204
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5213
Mailing Address - Country:US
Mailing Address - Phone:702-818-5341
Mailing Address - Fax:
Practice Address - Street 1:2832 E FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5205
Practice Address - Country:US
Practice Address - Phone:702-799-5385
Practice Address - Fax:702-799-0202
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-959235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist