Provider Demographics
NPI:1043498579
Name:WEINER, ERIN (CF)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WEINER
Suffix:
Gender:F
Credentials:CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 S FEDERAL HWY APT 821
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4966
Mailing Address - Country:US
Mailing Address - Phone:561-961-8488
Mailing Address - Fax:
Practice Address - Street 1:131 S FEDERAL HWY APT 821
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4966
Practice Address - Country:US
Practice Address - Phone:561-961-8488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGMedicaid