Provider Demographics
NPI:1750067500
Name:FENDER, ERIN CAIN (CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:CAIN
Last Name:FENDER
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:FENDER
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1035 E SAMFORD AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6132
Mailing Address - Country:US
Mailing Address - Phone:433-454-9271
Mailing Address - Fax:334-460-0711
Practice Address - Street 1:1035 E SAMFORD AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6132
Practice Address - Country:US
Practice Address - Phone:433-454-9271
Practice Address - Fax:334-460-0711
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist