Healthcare Provider Details

I. General information

NPI: 1457511669
Provider Name (Legal Business Name): CHRISTINA AKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 11/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 W 23RD ST
ERIE PA
16506-5802
US

IV. Provider business mailing address

4950 W 23RD ST
ERIE PA
16506-5802
US

V. Phone/Fax

Practice location:
  • Phone: 814-459-2755
  • Fax: 814-456-4873
Mailing address:
  • Phone: 814-459-2755
  • Fax: 814-456-4873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL009199
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number018115-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: