Provider Demographics
NPI:1912236282
Name:BARBARA ERSKINE SPEECH PATHOLOGIST MS CCC LLC
Entity Type:Organization
Organization Name:BARBARA ERSKINE SPEECH PATHOLOGIST MS CCC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERSKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-573-7313
Mailing Address - Street 1:9901 NE 7TH AVE
Mailing Address - Street 2:STE C248
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-4523
Mailing Address - Country:US
Mailing Address - Phone:360-573-7313
Mailing Address - Fax:360-573-0277
Practice Address - Street 1:9901 NE 7TH AVE
Practice Address - Street 2:STE C248
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-4523
Practice Address - Country:US
Practice Address - Phone:360-573-7313
Practice Address - Fax:360-573-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty