Provider Demographics
NPI:1578225165
Name:HONG, ERIN SEYOUNG (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:SEYOUNG
Last Name:HONG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 HELLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-1521
Mailing Address - Country:US
Mailing Address - Phone:714-308-4511
Mailing Address - Fax:
Practice Address - Street 1:3740 HELLMAN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-1521
Practice Address - Country:US
Practice Address - Phone:714-308-4511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist