Provider Demographics
NPI:1790233757
Name:WINSLOW, ERIN (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18688 RENWICK ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2874
Mailing Address - Country:US
Mailing Address - Phone:734-765-6602
Mailing Address - Fax:
Practice Address - Street 1:18688 RENWICK ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2874
Practice Address - Country:US
Practice Address - Phone:734-765-6602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI710100726235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist