# ERIN IS HOPE FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pollard-Licklider Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780638999
- **Authorized official:** JUDY LYNN POLLARD-LICKLIDER MA CCC SLP (PRESIDENT)
- **Authorized official phone:** (316) 681-3204

## Contact information

- **Practice address:** 4921 E 21ST ST N, WICHITA, KS 67208-1602
- **Practice address phone:** (316) 681-3204
- **Practice address fax:** (316) 681-0541
- **Mailing address:** 4921 E 21ST ST N, WICHITA, KS 67208-1602
- **Mailing address phone:** (316) 681-3204
- **Mailing address fax:** (316) 681-0541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3582 | KS | — |
| 225X00000X | Occupational Therapist | 17-02079 | KS | — |
| 225X00000X | Occupational Therapist | 17-02321 | KS | — |
| 235Z00000X | Speech-Language Pathologist | 2304 | KS | — |
| 235Z00000X | Speech-Language Pathologist | 2757 | KS | — |
| 235Z00000X | Speech-Language Pathologist | 2900 | KS | — |
| 235Z00000X | Speech-Language Pathologist | 998 | KS | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 01/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 115161 | BLUE CROSS BLUE SHIELD | KS |
| 05 | — | 20031630B | — | KS |