Provider Demographics
NPI:1215079157
Name:SITTERLEY, ERIN ANN (CCCSLP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ANN
Last Name:SITTERLEY
Suffix:
Gender:F
Credentials:CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68054
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98168-0054
Mailing Address - Country:US
Mailing Address - Phone:206-248-1248
Mailing Address - Fax:206-439-1960
Practice Address - Street 1:3718 S 164TH ST
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-3040
Practice Address - Country:US
Practice Address - Phone:206-248-1248
Practice Address - Fax:206-439-1960
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003212235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist