Provider Demographics
NPI:1508320599
Name:WATKINS, ERIN SUZANNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:SUZANNE
Last Name:WATKINS
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 1:180 PERRYVISTA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4852
Mailing Address - Country:US
Mailing Address - Phone:724-944-4325
Mailing Address - Fax:
Practice Address - Street 1:180 PERRYVISTA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-4852
Practice Address - Country:US
Practice Address - Phone:724-944-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist