Provider Demographics
NPI:1336422088
Name:PIKOR, ERICA MEGAN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MEGAN
Last Name:PIKOR
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 1:26 WINDMILL RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-6271
Mailing Address - Country:US
Mailing Address - Phone:845-849-1639
Mailing Address - Fax:
Practice Address - Street 1:17 LAKE WALTON RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6309
Practice Address - Country:US
Practice Address - Phone:845-227-1770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014294235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist