MEDICARE: MRS. ERICA H BLUMENTHAL M.A. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	6864	NC

General Provider Information

NPI Number	:	1568590677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICA H BLUMENTHAL M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	11535 CARMEL COMMONS BLVD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-5314
Country	:	US
Telephone Number	:	704-541-3737
Fax Number	:

Provider Business Practice Location Address
First Line	:	11535 CARMEL COMMONS BLVD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-5314
Country	:	US
Telephone Number	:	704-541-3737
Fax Number	:	704-540-9199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	06/15/2009

Similar Medicare Providers

1063414175 — DR. LUIS ANTONIO CHAMORRO DMD, MPH
Practice Location Address:

11535 CARMEL COMMONS BLVD , STE 205
CHARLOTTE, NC
28226-5314

Practice Phone: 704-341-3636
Practice Fax: 704-341-3880

1831569466 — CRYSTAL DAWN HAUGHT M.S.,CCC/SLP
Practice Location Address:

11535 CARMEL COMMONS BLVD STE 100
CHARLOTTE, NC
28226-5314

Practice Phone: 704-541-3737
Practice Fax:

1245768233 — MRS. CHRISTINE JONES TISON MA, LPCA
Practice Location Address:

11535 CARMEL COMMONS BLVD STE 104
CHARLOTTE, NC
28226-5314

Practice Phone: 704-941-6601
Practice Fax:

1548774219 — REBECCA CANADY M.S. CCC-SLP
Practice Location Address:

11535 CARMEL COMMONS BLVD STE 100
CHARLOTTE, NC
28226-5314

Practice Phone: 704-541-3737
Practice Fax:

1194588616 — CONVERSION THERAPEUTIC SERVICES INC
Practice Location Address:

11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC
28226-5314

Practice Phone: 704-910-1788
Practice Fax:

1295598704 — CONVERSION THERAPEUTIC SERVICES INC
Practice Location Address:

11535 CARMEL COMMONS BLVD STE 102
CHARLOTTE, NC
28226-5314

Practice Phone: 704-910-1788
Practice Fax:

Directions to “ MRS. ERICA H BLUMENTHAL M.A. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.