Provider Demographics
NPI:1770663437
Name:METZ, ERIN TAYLOR (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:TAYLOR
Last Name:METZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:TAYLOR
Other - Last Name:AYLWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2075 E. WEST MAPLE ROAD
Mailing Address - Street 2:B-204 ABILITIES CENTER
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390
Mailing Address - Country:US
Mailing Address - Phone:248-926-0909
Mailing Address - Fax:248-624-3332
Practice Address - Street 1:2075 E. WEST MAPLE ROAD
Practice Address - Street 2:B-204 ABILITIES CENTER
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390
Practice Address - Country:US
Practice Address - Phone:248-926-0909
Practice Address - Fax:248-624-3332
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.0000223235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist