Individual
ERIN STAUTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
5865 VALLEYWAY CT, CINCINNATI, OH 45247-7439
(513) 479-7754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 8753
OH
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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