Provider Demographics
NPI:1053336552
Name:HERMAN, ERIN MARIE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:HERMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 DEVANSHAE CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-5300
Mailing Address - Country:US
Mailing Address - Phone:513-259-4362
Mailing Address - Fax:
Practice Address - Street 1:5782 OBSERVATION CT
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1472
Practice Address - Country:US
Practice Address - Phone:513-312-3964
Practice Address - Fax:866-505-5231
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 8408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2187155Medicaid
OH2187155Medicaid