Provider Demographics
NPI:1629838867
Name:ROSSKNECHT, ERIN TAYLOR
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TAYLOR
Last Name:ROSSKNECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7999 SW YACHTSMANS DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-4832
Mailing Address - Country:US
Mailing Address - Phone:772-418-2633
Mailing Address - Fax:
Practice Address - Street 1:7999 SW YACHTSMANS DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4832
Practice Address - Country:US
Practice Address - Phone:772-418-2633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA21958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist