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NPI Code Detail

MEDICARE: MS. ERIN WIMS CCC-SLP

MEDICARE: MS. ERIN WIMS 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 PathologistSI60249337WA

General Provider Information

NPI Number : 1417232521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN WIMS CCC-SLP
Provider Business Mailing Address
First Line : 4042 1ST AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98105-6502
Country : US
Telephone Number : 253-278-0764
Fax Number :
Provider Business Practice Location Address
First Line : 11 W ALOHA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3743
Country : US
Telephone Number : 206-301-4446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 03/03/2014

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Directions to “ MS. ERIN WIMS CCC-SLP” Practice Location

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