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NPI Code Detail

MEDICARE: MISS ERIN LYNN ROON M.A. CCC-SLP

MEDICARE:  MISS ERIN LYNN ROON  M.A. CCC-SLP
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1225028160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ERIN LYNN ROON M.A. CCC-SLP
Provider Business Mailing Address
First Line : 1248 OXBOW DR
Second Line :
City : MIDDLEVILLE
State : MI
Zip : 49333-8376
Country : US
Telephone Number : 269-795-1659
Fax Number :
Provider Business Practice Location Address
First Line : 9770 DUNCAN LAKE AVE SE
Second Line :
City : CALEDONIA
State : MI
Zip : 49316-9411
Country : US
Telephone Number : 616-891-8181
Fax Number : 616-891-7019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2005
Last Update Date : 07/08/2007

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Directions to “ MISS ERIN LYNN ROON M.A. CCC-SLP” Practice Location

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