Healthcare Provider Details

I. General information

NPI: 1821528803
Provider Name (Legal Business Name): ERIN HUFFNAGLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 BOARDWALK ST
ANN ARBOR MI
48104-6713
US

IV. Provider business mailing address

634 MANOR DR
ANN ARBOR MI
48105-1131
US

V. Phone/Fax

Practice location:
  • Phone: 734-994-2303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14295523
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: