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NPI Code Detail

MEDICARE: ERINN W. ZACHARIASEN M.S., CCC-SLP

MEDICARE: ERINN W. ZACHARIASEN M.S., 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 PathologistSA 4338FL

General Provider Information

NPI Number : 1851503288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERINN W. ZACHARIASEN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 6965 PROSPERITY CIR
Second Line :
City : SARASOTA
State : FL
Zip : 34238-1509
Country : US
Telephone Number : 941-342-9469
Fax Number :
Provider Business Practice Location Address
First Line : 1507 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-2608
Country : US
Telephone Number : 941-366-0336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2007
Last Update Date : 06/05/2013

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Directions to “ ERINN W. ZACHARIASEN M.S., CCC-SLP” Practice Location

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