Provider Demographics
NPI:1619133634
Name:MAIERLE, ERIN E (AUD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:E
Last Name:MAIERLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 588
Mailing Address - Street 2:
Mailing Address - City:GREENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53129-0588
Mailing Address - Country:US
Mailing Address - Phone:414-416-0400
Mailing Address - Fax:
Practice Address - Street 1:919 BAYVIEW DR APT B
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5536
Practice Address - Country:US
Practice Address - Phone:414-416-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2536231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist