Provider Demographics
NPI:1851578348
Name:LATHAM, ERIN JOYCE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:JOYCE
Last Name:LATHAM
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 1:290 GOVERNORS GRANT BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7102
Mailing Address - Country:US
Mailing Address - Phone:864-607-7810
Mailing Address - Fax:
Practice Address - Street 1:290 GOVERNORS GRANT BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7102
Practice Address - Country:US
Practice Address - Phone:864-607-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4122235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist