Provider Demographics
NPI:1578030524
Name:NORTHROP, ERIN G (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:G
Last Name:NORTHROP
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:G
Other - Last Name:GOODNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5558 OLD SETTLER DR
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8819
Mailing Address - Country:US
Mailing Address - Phone:520-260-9510
Mailing Address - Fax:
Practice Address - Street 1:8461 BENSON RD
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-9744
Practice Address - Country:US
Practice Address - Phone:360-354-4443
Practice Address - Fax:360-354-5494
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60877941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist