Provider Demographics
NPI:1821462003
Name:WEBB, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WEBB
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 1:68 E STATE ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3103
Mailing Address - Country:US
Mailing Address - Phone:802-999-2640
Mailing Address - Fax:
Practice Address - Street 1:68 E STATE ST
Practice Address - Street 2:APT. 1
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3103
Practice Address - Country:US
Practice Address - Phone:802-999-2640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT144.0116160235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist