Individual
MRS. ERICA MARIE AMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, CMS, TAMPA, FL 33612-3803
(813) 974-0602
(813) 250-8875
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11174701
CITRUS HMO
FL
01
—
355141
WELLCARE HMO
FL
05
—
890362000
—
FL
01
—
S2899
BCBS
FL
Enumeration date
01/18/2007
Last updated
04/09/2015
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