Provider Demographics
NPI:1235867052
Name:FOULKS, ERIN C (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:C
Last Name:FOULKS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 WHITEHURST DR
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-1431
Mailing Address - Country:US
Mailing Address - Phone:817-266-6507
Mailing Address - Fax:
Practice Address - Street 1:440 E WISHBONE LN
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-2074
Practice Address - Country:US
Practice Address - Phone:817-698-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346782355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant