Provider Demographics
NPI:1649589748
Name:HUNTINGTON, ERIN NICOLE (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE
Last Name:HUNTINGTON
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:NICOLE
Other - Last Name:HUNTINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,CCC/SLP
Mailing Address - Street 1:2114 NW 40TH TER STE C3
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3592
Mailing Address - Country:US
Mailing Address - Phone:352-812-3080
Mailing Address - Fax:
Practice Address - Street 1:2114 NW 40TH TER STE C3
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3592
Practice Address - Country:US
Practice Address - Phone:352-812-3080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
FLSA9903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist