Healthcare Provider Details

I. General information

NPI: 1417185646
Provider Name (Legal Business Name): ERIN ALBERTO HURT SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MARIE ALBERTO

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 01/07/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 EXCELSIOR BLVD
ST LOUIS PARK MN
55426-4702
US

IV. Provider business mailing address

8170 33RD AVE S PO BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS MN
55425-4516
US

V. Phone/Fax

Practice location:
  • Phone: 952-993-5900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8468
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: