=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851202865
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN SKOUSEN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2026
-----------------------------------------------------
Last Update Date | 09/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19920 GAS POINT RD
-----------------------------------------------------
City | COTTONWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96022-9115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-347-1698
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19920 GAS POINT RD
-----------------------------------------------------
City | COTTONWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96022-9115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-440-6248
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 21499
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------