Provider Demographics
NPI:1992298657
Name:MCCANN, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCCANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MEISINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4699 PINE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2519
Mailing Address - Country:US
Mailing Address - Phone:402-968-3263
Mailing Address - Fax:
Practice Address - Street 1:3805 25TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-2233
Practice Address - Country:US
Practice Address - Phone:402-942-1329
Practice Address - Fax:402-606-4664
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist