Provider Demographics
NPI:1376828723
Name:SPILBERG, ERIN RACHEL (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RACHEL
Last Name:SPILBERG
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 W BROADWAY APT 3H
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3918
Mailing Address - Country:US
Mailing Address - Phone:516-317-5267
Mailing Address - Fax:
Practice Address - Street 1:370 W BROADWAY APT 3H
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3918
Practice Address - Country:US
Practice Address - Phone:516-317-5267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021335235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist