Individual
ERIN MARIE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC SLP
Contact information
Practice address
1370 MEDICAL CENTER DR STE D, ROHNERT PARK, CA 94928-2934
(707) 326-3548
(707) 757-5623
Mailing address
315 E COTATI AVE STE F, COTATI, CA 94931-7801
(707) 326-3548
(707) 757-5623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750872818
1750872818
CA
Enumeration date
07/23/2020
Last updated
07/09/2021
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