Provider Demographics
NPI:1235692690
Name:PACHECO, ERIN KATHLEEN (MS CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:PACHECO
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-4092
Mailing Address - Country:US
Mailing Address - Phone:828-229-3333
Mailing Address - Fax:
Practice Address - Street 1:420 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-4092
Practice Address - Country:US
Practice Address - Phone:828-229-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001082235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist