Provider Demographics
NPI:1396821690
Name:DOWNS, ERIKA JANEEN (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:JANEEN
Last Name:DOWNS
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 1:337 HARMS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-2309
Mailing Address - Country:US
Mailing Address - Phone:812-346-1440
Mailing Address - Fax:812-346-1440
Practice Address - Street 1:337 HARMS ST
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-2309
Practice Address - Country:US
Practice Address - Phone:812-346-1440
Practice Address - Fax:812-346-1440
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003422A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200672400Medicaid
IN200725940AMedicaid