Basic Information
| Provider Information | |||||||||
| NPI: | 1477953156 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PERRY | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | JANEA | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10811 SE KENT KANGLEY RD | ||||||||
| Address2: | |||||||||
| City: | KENT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980307108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538545660 | ||||||||
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| Practice Location | |||||||||
| Address1: | 105 W 8TH AVE STE 7060 | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992042327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094745437 | ||||||||
| FaxNumber: | 5092277070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2014 | ||||||||
| LastUpdateDate: | 02/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | LL60384092 | WA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.