Basic Information
| Provider Information | |||||||||
| NPI: | 1770663437 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | METZ | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | TAYLOR | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S., CCC-SLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | AYLWARD | ||||||||
| OtherFirstName: | ERIN | ||||||||
| OtherMiddleName: | TAYLOR | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2075 E. WEST MAPLE ROAD | ||||||||
| Address2: | B-204 ABILITIES CENTER | ||||||||
| City: | WALLED LAKE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489260909 | ||||||||
| FaxNumber: | 2486243332 | ||||||||
| Practice Location | |||||||||
| Address1: | 2075 E. WEST MAPLE ROAD | ||||||||
| Address2: | B-204 ABILITIES CENTER | ||||||||
| City: | WALLED LAKE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489260909 | ||||||||
| FaxNumber: | 2486243332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 09/02/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 242.0000223 | IL | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.