Healthcare Provider Details

I. General information

NPI: 1245874080
Provider Name (Legal Business Name): ERIN DUNCAN AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2894 HOMESTEAD RD
SANTA CLARA CA
95051-5224
US

IV. Provider business mailing address

232 GLENWOOD AVE
WOODSIDE CA
94062-3547
US

V. Phone/Fax

Practice location:
  • Phone: 408-553-6900
  • Fax:
Mailing address:
  • Phone: 401-486-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3478
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: