Provider Demographics
NPI:1699081240
Name:WELLS, ERIN DAVIS (AUD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:DAVIS
Last Name:WELLS
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 BRISCOE RUN RD STE 10
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-8100
Mailing Address - Country:US
Mailing Address - Phone:314-324-0097
Mailing Address - Fax:
Practice Address - Street 1:3901 BRISCOE RUN RD STE 10
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-8100
Practice Address - Country:US
Practice Address - Phone:314-324-0097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010023050231H00000X
WVA-0339231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist