Provider Demographics
NPI:1619325586
Name:SHEPHERD, ERIN TYLER (SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TYLER
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:KEENEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4121 LITTLE SAVANNAH RD STE 132
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-9688
Mailing Address - Country:US
Mailing Address - Phone:828-227-7251
Mailing Address - Fax:
Practice Address - Street 1:WESTERN CAROLINA UNIVERSITY
Practice Address - Street 2:4121 LITTLE SAVANNAH RD STE 132
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723-9688
Practice Address - Country:US
Practice Address - Phone:828-227-7251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1703063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist