Constance L. Erickson, M.ED.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bluefield, VA
NPI 1164543559 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164543559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202003789 (VA)
- Practice address
- Westwood Office Park
Bluefield, VA 24605 - Phone
- (276) 322-5439
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202003789 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202003789 | VA | Yes |
Addresses
Primary practice location
Westwood Office Park
Bluefield, VA 24605
Mailing address
892 Tranquil Rd
North Tazewell, VA 24630-8047
Phone (276) 322-3773
Other providers in Bluefield, VA
- Holly Disibbio
- Bobby Quentin Dunford
- Donna Elaine Dunford
- Alfred James Dyer
- East River Psychiatry
- Kimberly Erskin
- Emily Evans
- Ralph Evans
- Family Preservation Service Inc
- Yasser Faraj
All providers in Bluefield, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.