Provider Demographics
NPI:1508416413
Name:SLAUBAUGH, ERIN (SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SLAUBAUGH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7316 US 31 S
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-8541
Mailing Address - Country:US
Mailing Address - Phone:317-851-8419
Mailing Address - Fax:317-851-8499
Practice Address - Street 1:7316 US 31 S
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-8541
Practice Address - Country:US
Practice Address - Phone:317-851-8419
Practice Address - Fax:317-851-8499
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46003462A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist