Provider Demographics
NPI:1497003891
Name:RANKIN, ERIN HOPE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HOPE
Last Name:RANKIN
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 1:320 N J ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-1917
Mailing Address - Country:US
Mailing Address - Phone:218-791-6761
Mailing Address - Fax:
Practice Address - Street 1:4523 97TH AVE W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-1318
Practice Address - Country:US
Practice Address - Phone:253-566-5460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60273362235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12155897OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION