Provider Demographics
NPI:1750058863
Name:MCKAY, ERIKA A (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:A
Last Name:MCKAY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CEDAR POND DR APT 9
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-0862
Mailing Address - Country:US
Mailing Address - Phone:720-470-0720
Mailing Address - Fax:
Practice Address - Street 1:433 BROADWAY
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-1624
Practice Address - Country:US
Practice Address - Phone:401-529-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78201235Z00000X
RI01782235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist