Provider Demographics
NPI:1477146652
Name:DUPREE, ERIN LEE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LEE
Last Name:DUPREE
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 1:2940 LE OAKS DR APT 1302
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-7838
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1541 OLD HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:ELM GROVE
Practice Address - State:LA
Practice Address - Zip Code:71051-7918
Practice Address - Country:US
Practice Address - Phone:318-549-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7881235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist