Provider Demographics
NPI:1285914614
Name:GLOWE, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GLOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 HUNTINGTON DR
Mailing Address - Street 2:SUITE 18
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4812
Mailing Address - Country:US
Mailing Address - Phone:626-807-0182
Mailing Address - Fax:626-441-6389
Practice Address - Street 1:1910 HUNTINGTON DR
Practice Address - Street 2:SUITE 18
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4812
Practice Address - Country:US
Practice Address - Phone:626-807-0182
Practice Address - Fax:626-441-6389
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP12905235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist