Provider Demographics
NPI:1194167478
Name:LEONARD, ERIN WHITNEY (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:WHITNEY
Last Name:LEONARD
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 1:15201 SE REMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-7695
Mailing Address - Country:US
Mailing Address - Phone:541-359-7337
Mailing Address - Fax:
Practice Address - Street 1:3025 SW RESERVOIR DR
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-9481
Practice Address - Country:US
Practice Address - Phone:541-548-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR015094235Z00000X
OR15094235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist