Active NPI
Erin June Glenn, M.A., CCC-SLP, CLC
- Speech-Language Pathologist
- Fort Collins, CO
National Provider Identifier
1962752410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-513
- Practice address
- 1309 Robertson St
Fort Collins, CO 80524-4257 - Phone
- (970) 420-3967
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-513 | WY | Primary |
Addresses
Primary practice location
1309 Robertson St
Fort Collins, CO 80524-4257
Mailing address
1309 Robertson St
Fort Collins, CO 80524-4257
Phone (970) 420-3967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-513 | WY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1962752410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 ROBERTSON ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244257",
"telephone_number": "970-420-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 ROBERTSON ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244257",
"telephone_number": "970-420-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "ERIN",
"middle_name": "JUNE",
"credential": "M.A., CCC-SLP, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.