Provider Demographics
NPI:1275255945
Name:HARRISON-ELLIS EL, ERIKA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HARRISON-ELLIS EL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2078
Mailing Address - Country:US
Mailing Address - Phone:443-974-8256
Mailing Address - Fax:
Practice Address - Street 1:1106 LEAFY HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-2804
Practice Address - Country:US
Practice Address - Phone:240-236-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10210235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist