Provider Demographics
NPI:1497485866
Name:SUNDBERG, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SUNDBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 WHIPPOORWILL LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6049
Mailing Address - Country:US
Mailing Address - Phone:972-475-4700
Mailing Address - Fax:
Practice Address - Street 1:4108 WHIPPOORWILL LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6049
Practice Address - Country:US
Practice Address - Phone:214-394-9651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist