Healthcare Provider Details

I. General information

NPI: 1285082362
Provider Name (Legal Business Name): ERIN VRANKIN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2016
Last Update Date: 05/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 CARLISLE PIKE
NEW OXFORD PA
17350-9582
US

IV. Provider business mailing address

1055 HOBART RD
GLENVILLE PA
17329-9757
US

V. Phone/Fax

Practice location:
  • Phone: 717-624-2161
  • Fax:
Mailing address:
  • Phone: 717-633-1210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL003791L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: