Provider Demographics
NPI:1811501430
Name:THALER, ERIN MICHELLE (MS, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MICHELLE
Last Name:THALER
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:MICHELLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 N VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57107-1022
Mailing Address - Country:US
Mailing Address - Phone:605-690-6533
Mailing Address - Fax:
Practice Address - Street 1:400 N VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-1022
Practice Address - Country:US
Practice Address - Phone:605-690-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD913-PROV235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist