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General NPI Number Information
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NPI Number | 1225028160
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Entity Type | Individual
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Provider Name | ERIN LYNN ROON M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9770 DUNCAN LAKE AVE SE
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City | CALEDONIA
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State | MI
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Zip | 49316-9411
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Country | US
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Telephone | 616-891-8181
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Fax | 616-891-7019
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Provider Business Mailing Address
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Address Line | 1248 OXBOW DR
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City | MIDDLEVILLE
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State | MI
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Zip | 49333-8376
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Country | US
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Telephone | 269-795-1659
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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