Individual
CAMERON ERICSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3222 W FULLER DR, ANTHEM, AZ 85086-6004
(847) 596-0445
Mailing address
8043 N 10TH ST, PHOENIX, AZ 85020-3770
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15072
AZ
251E00000X
Home Health Agency
Primary
SLPA15072
AZ
Other
Enumeration date
03/01/2024
Last updated
05/04/2026
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