Provider Demographics
NPI:1871730044
Name:DINKINS, ERICA L (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:L
Last Name:DINKINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 LOVERS LN
Mailing Address - Street 2:#328
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6925
Mailing Address - Country:US
Mailing Address - Phone:225-954-1913
Mailing Address - Fax:
Practice Address - Street 1:4516 LOVERS LN
Practice Address - Street 2:#328
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6925
Practice Address - Country:US
Practice Address - Phone:225-954-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2018-11-15
Deactivation Date:2016-02-05
Deactivation Code:
Reactivation Date:2018-11-15
Provider Licenses
StateLicense IDTaxonomies
TX103544235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist