Provider Demographics
NPI:1841073178
Name:MCDANIEL, ERIN PAIGE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:PAIGE
Last Name:MCDANIEL
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 1:8922 MENCHACA RD UNIT 701
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5380
Mailing Address - Country:US
Mailing Address - Phone:210-954-0895
Mailing Address - Fax:
Practice Address - Street 1:8922 MENCHACA RD UNIT 701
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5380
Practice Address - Country:US
Practice Address - Phone:210-954-0895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119587235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist