Provider Demographics
NPI:1740598622
Name:LAUNDRIE, ERIN L (AUD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:LAUNDRIE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:L
Other - Last Name:PROVOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 HAMMOND LN
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2003
Mailing Address - Country:US
Mailing Address - Phone:518-562-0054
Mailing Address - Fax:518-563-5518
Practice Address - Street 1:11 HAMMOND LN
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2003
Practice Address - Country:US
Practice Address - Phone:518-562-0054
Practice Address - Fax:518-563-5518
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002312-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00753842Medicaid
NY00753842Medicaid