Healthcare Provider Details

I. General information

NPI: 1164767075
Provider Name (Legal Business Name): ERIN MCGUINNESS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2012
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 COUNTY VIEW RD
DALLAS TX
75249-1124
US

IV. Provider business mailing address

1106 SAINT ANDREWS DR
MANSFIELD TX
76063-2690
US

V. Phone/Fax

Practice location:
  • Phone: 972-708-2060
  • Fax:
Mailing address:
  • Phone: 214-551-1247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number100997
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: