Provider Demographics
NPI:1831683010
Name:REED, ERIKA M (SLP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:M
Last Name:REED
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:M
Other - Last Name:MAKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:27084 ROUND POLE BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-3041
Mailing Address - Country:US
Mailing Address - Phone:302-438-1264
Mailing Address - Fax:
Practice Address - Street 1:100 ENTERPRISE PL STE 1
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-8207
Practice Address - Country:US
Practice Address - Phone:302-678-3353
Practice Address - Fax:302-678-3650
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0001670235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist