Provider Demographics
NPI:1609379189
Name:LUCIER, ERIN RENE (MS, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RENE
Last Name:LUCIER
Suffix:
Gender:
Credentials:MS, CF-SLP
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:RENE
Other - Last Name:VON ROSENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, SLPA
Mailing Address - Street 1:9863 MUSICK RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-3950
Mailing Address - Country:US
Mailing Address - Phone:314-604-3430
Mailing Address - Fax:
Practice Address - Street 1:3488 JEFFCO BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-6015
Practice Address - Country:US
Practice Address - Phone:636-464-5439
Practice Address - Fax:636-464-5438
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025012511235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist