Provider Demographics
NPI:1487022430
Name:WEXLER, ERIN MCCOOK (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MCCOOK
Last Name:WEXLER
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12186 OBELIA LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7111
Mailing Address - Country:US
Mailing Address - Phone:513-518-8299
Mailing Address - Fax:
Practice Address - Street 1:12186 OBELIA LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7111
Practice Address - Country:US
Practice Address - Phone:513-518-8299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 14044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist