Individual
ERIKA LAVERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
78 HIDDEN BROOK DR, STAMFORD, CT 06907-1415
(203) 904-8494
Mailing address
78 HIDDEN BROOK DR, STAMFORD, CT 06907-1415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003339
CT
235Z00000X
Speech-Language Pathologist
58 018880
NY
235Z00000X
Speech-Language Pathologist
SLP007342
GA
Other
Enumeration date
05/29/2009
Last updated
07/18/2010
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