Provider Demographics
NPI:1932575917
Name:COX, ERIN (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6057 W ANDREW JOHNSON HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TALBOTT
Mailing Address - State:TN
Mailing Address - Zip Code:37877-8676
Mailing Address - Country:US
Mailing Address - Phone:423-586-9495
Mailing Address - Fax:423-586-9549
Practice Address - Street 1:6057 W ANDREW JOHNSON HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-8676
Practice Address - Country:US
Practice Address - Phone:423-586-9495
Practice Address - Fax:423-586-9549
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN300150187Medicaid
TN44-6679Medicare UPIN