Provider Demographics
NPI:1720583750
Name:SEWARD, ERIN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SEWARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9059 SPRING HILL RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23888-2728
Mailing Address - Country:US
Mailing Address - Phone:757-641-0773
Mailing Address - Fax:
Practice Address - Street 1:5355 CARRSVILLE HWY
Practice Address - Street 2:
Practice Address - City:CARRSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23315-3024
Practice Address - Country:US
Practice Address - Phone:757-357-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007139235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist