Provider Demographics
NPI:1275025728
Name:KEPLER, ERIN MARIE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:KEPLER
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 1:7376 KENNEDY RD
Mailing Address - Street 2:
Mailing Address - City:NOKESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20181-5839
Mailing Address - Country:US
Mailing Address - Phone:571-344-3901
Mailing Address - Fax:
Practice Address - Street 1:7403 ACADEMIC AVE
Practice Address - Street 2:
Practice Address - City:NOKESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20181-5877
Practice Address - Country:US
Practice Address - Phone:540-422-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005908235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist