Erin Nicole Holby, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Forty Fort, PA
NPI 1619620184 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1619620184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL015727 (PA)
- Practice address
- Wyoming Valley Children'S Association
1133 Wyoming Ave
Forty Fort, PA 18704 - Phone
- (570) 714-1246
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250505003091 | PA | Practitioner - Qualified Speech Language Pathologist | 4587181441 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL015727 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Valley Childrens Association | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1133 Wyoming Ave
Kingston, PA 18704
Phone (570) 714-1246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL015727 | PA | Yes |
Addresses
Primary practice location
Wyoming Valley Children'S Association
1133 Wyoming Ave
Forty Fort, PA 18704
Mailing address
Wyoming Valley Children'S Association
1133 Wyoming Ave
Forty Fort, PA 18704
Phone (570) 714-1246
Other names
- Erin Nicole Muldoon
Other providers in Forty Fort, PA
- Erica Haefele
- Michaela Hamilton
- John Francis Handley
- Tamara Hendershot
- Christine Henn
- Jessica Hubbard
- Rita Biggers Hughes
- Laura Janov
- Jeffrey Fremont PHD
- John Della Rosa, MD
All providers in Forty Fort, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.