MEDICARE: ERICA LEIGH MONROE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	8875	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053102392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA LEIGH MONROE

Provider Business Mailing Address
First Line	:	28 SALTY TIDE CV
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-7925
Country	:	US
Telephone Number	:	803-727-6964
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 SALTY TIDE CV
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-7925
Country	:	US
Telephone Number	:	803-727-6964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/19/2026

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Directions to “ ERICA LEIGH MONROE ” Practice Location

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