Provider Demographics
NPI:1952668246
Name:ASH, ERIN WHITNEY (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:WHITNEY
Last Name:ASH
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 1:10706 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-1650
Mailing Address - Country:US
Mailing Address - Phone:918-299-4415
Mailing Address - Fax:
Practice Address - Street 1:10706 S MADISON ST
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-1650
Practice Address - Country:US
Practice Address - Phone:918-299-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist