Provider Demographics
NPI:1871737569
Name:HITCHCOCK, ERIN BETH (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:BETH
Last Name:HITCHCOCK
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DRUMMOND CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3626
Mailing Address - Country:US
Mailing Address - Phone:716-445-5140
Mailing Address - Fax:
Practice Address - Street 1:249 SKILLEN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1618
Practice Address - Country:US
Practice Address - Phone:716-816-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018926-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist