Provider Demographics
NPI:1982732756
Name:LEVY, ERIN MAHNKE (AUD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MAHNKE
Last Name:LEVY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:MAHNKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4200 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-6913
Mailing Address - Country:US
Mailing Address - Phone:816-982-1660
Mailing Address - Fax:816-932-1675
Practice Address - Street 1:4200 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-6913
Practice Address - Country:US
Practice Address - Phone:816-982-1660
Practice Address - Fax:816-932-1675
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2221231H00000X
CAHA 6033237600000X
MO2008015532231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter