Provider Demographics
NPI:1851664650
Name:ERICK, DAWN (SLP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:ERICK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2842 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2402
Mailing Address - Country:US
Mailing Address - Phone:914-245-5395
Mailing Address - Fax:
Practice Address - Street 1:1606 OLD ORCHARD ST
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-1049
Practice Address - Country:US
Practice Address - Phone:914-948-7271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017017-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist