Provider Demographics
NPI:1003672494
Name:KNORR, ERIKA (SLP-CCC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:KNORR
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MIZUKI TERAYA
Other - Last Name:KNORR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP-CCC
Mailing Address - Street 1:1550 VYSE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-5650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1550 VYSE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-5650
Practice Address - Country:US
Practice Address - Phone:984-322-1320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist