Basic Information
Provider Information | |||||||||
NPI: | 1003144577 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | SPAINHOUR | ||||||||
FirstName: | ERIN | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.A. CCC-SLP | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 125 LADY SLIPPER TRL | ||||||||
Address2: | PO BOX 502 | ||||||||
City: | SWANNANOA | ||||||||
State: | NC | ||||||||
PostalCode: | 287783726 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3365925882 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 85 W WALNUT ST | ||||||||
Address2: | APT. 406 | ||||||||
City: | ASHEVILLE | ||||||||
State: | NC | ||||||||
PostalCode: | 288012870 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3365925882 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/22/2009 | ||||||||
LastUpdateDate: | 03/22/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 6898 | NC | Y |   | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |   |
ID Information
ID | Type | State | Issuer | Description | 6898 | 01 | NC | BOE SPEECH-LANGUAGE PATHOLOGY | OTHER | 88088 | 01 | NC | DPI HEARING IMPAIRED (GRADES K-12) | OTHER | 12092291 | 01 |   | ASHA | OTHER | 88082 | 01 | NC | DPI SPEECH-LANGUAGE PATHOLOGIST | OTHER |