Individual
ERICA TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
(877) 991-7837
Mailing address
1949 HELMSTETLER RD, LEXINGTON, NC 27295-4904
(336) 956-8687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3884
NC
Other
Enumeration date
05/17/2009
Last updated
05/17/2009
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