Provider Demographics
NPI:1790206696
Name:HARRELL, ERIN K
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:K
Last Name:HARRELL
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 1:70 RIVER BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-2625
Mailing Address - Country:US
Mailing Address - Phone:502-418-1997
Mailing Address - Fax:
Practice Address - Street 1:1471 TWILIGHT TRL
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8497
Practice Address - Country:US
Practice Address - Phone:606-776-1450
Practice Address - Fax:502-352-2967
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY141311235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist