Provider Demographics
NPI:1952095846
Name:SELTZER, ERIKA LYNN
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNN
Last Name:SELTZER
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 1:5359 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14171-9406
Mailing Address - Country:US
Mailing Address - Phone:716-942-3293
Mailing Address - Fax:
Practice Address - Street 1:5359 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:14171-9406
Practice Address - Country:US
Practice Address - Phone:716-942-3293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034460235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist