Provider Demographics
NPI:1891247391
Name:FLAK, ERIKA ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ANN
Last Name:FLAK
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 1:7061 MADISON AVE
Mailing Address - Street 2:UNIT C7
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3141
Mailing Address - Country:US
Mailing Address - Phone:530-251-7761
Mailing Address - Fax:
Practice Address - Street 1:7061 MADISON AVE
Practice Address - Street 2:UNIT C7
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3141
Practice Address - Country:US
Practice Address - Phone:530-251-7761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP22429235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist