Erica Jayne Anderson | Ft Mitchell, KY • PECOS Search

Erica Jayne Anderson

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

71 Orphanage Rd, Ft Mitchell, KY 41017-3006

(859) 331-0880 (859) 359-4080

PECOS Enrollment

Based on the most recent information from CMS, provider Erica Jayne Anderson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1801097050
Provider Type
Individual
Full Name
Anderson, Erica Jayne
Title
Mrs.
Credential
MA CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/29/2007
Last Updated
7/8/2007

Contact Information

Practice Location

71 Orphanage Rd, Ft Mitchell, KY 41017-3006

Unlisted Fax

Mailing Location

3178 Bridlerun Dr, Independence, KY 41051-6888

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License KY-2998 Kentucky