Provider Demographics
NPI:1336744838
Name:LANHAM, ERIKA (AUD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LANHAM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 AVENUE P STE 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4982
Mailing Address - Country:US
Mailing Address - Phone:718-421-2782
Mailing Address - Fax:
Practice Address - Street 1:209 AVENUE P STE 2A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4982
Practice Address - Country:US
Practice Address - Phone:718-421-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002967231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist