Individual
ERIN RENE' BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
Mailing address
7414 ELGIN AVE APT 15G, LUBBOCK, TX 79423-1403
(512) 755-0314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61649891
WA
235Z00000X
Speech-Language Pathologist
TSLP10096
AZ
Other
Enumeration date
08/05/2016
Last updated
02/19/2025
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