Healthcare Provider Details

I. General information

NPI: 1649181280
Provider Name (Legal Business Name): ERIN ELIZABETH HANDLEY-TRUCKENMILLER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 OAKHURST DR STE A
EVANS GA
30809-3712
US

IV. Provider business mailing address

805 OAKHURST DR STE A
EVANS GA
30809-3712
US

V. Phone/Fax

Practice location:
  • Phone: 706-831-1128
  • Fax: 770-230-0157
Mailing address:
  • Phone: 706-831-1128
  • Fax: 770-230-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPCET004653
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: