MISS ERICA DENISE TULLOS (NPI# 1265607790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265607790 |
| Entity Type | Individual |
| Full Name | MISS ERICA DENISE TULLOS |
| Credential | CCC-SLP |
| Practice Address |
1058 Holland Ave Philadelphia MS 39350-9121 |
| Practice Telephone | 6016509111 |
| Practice Fax Number | 6016501972 |
| Mailing Telephone | 6016509111 |
| Mailing Fax Number | 6016501972 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S3095 | MS | Speech, Language and Hearing Service Providers |
| Street Address |
1058 HOLLAND AVE |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500803 | Charla Ann Bowden | Physical Therapist | 1058 Holland Ave, Philadelphia Physical Therapy, Philadelphia, MS 39350 | 2006-03-02 |
| 1962019265 | Cameron Gavin Lesley | Physical Therapist | 1058 Holland Ave, Philadelphia, MS 39350-9121 | 2020-09-30 |
| 1194916817 | Michele Maxey | Physical Therapist | 1058 Holland Ave, Philadelphia, MS 39350-9121 | 2007-08-07 |
| 1639268071 | Vip Rehab, Inc | Physical Therapist | 1058 Holland Ave, Philadelphia, MS 39350-9121 | 2006-10-12 |
| 1023103207 | Melissa Gray Clark | Physical Therapist | 1058 Holland Ave, Philadelphia, MS 39350-9121 | 2006-10-04 |
| 1942394648 | Terry Mark Winstead | Occupational Therapist | 1058 Holland Ave, Philadelphia, MS 39350-9121 | 2006-10-03 |
| 1346351657 | Airpark Physical Therapy Lp | Physical Therapist | 1058 Holland Ave, Philadelphia, MS 39350-9121 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696931 | Abigail Stern | Speech-Language Pathologist | 4827 Umbria St, Philadelphia, PA 19127-1916 | 2020-10-12 |
| 1750988754 | Jennifer M Lisberger | Speech-Language Pathologist | 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 | 2020-10-04 |
| 1487261699 | Brooke Ashley Beechan | Speech-Language Pathologist | 1712 Green St Apt 4, Philadelphia, PA 19130-4132 | 2020-09-30 |
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1164039616 | Alexandra Gallagher Slp | Speech-Language Pathologist | 1326 N Mascher St Unit E, Philadelphia, PA 19122-4630 | 2020-09-29 |
| 1245846872 | Brittany Mae Smolar | Speech-Language Pathologist | 1539 S Garnet St, Philadelphia, PA 19146-4627 | 2020-09-18 |
| 1063026904 | Katherine Mary Moran | Speech-Language Pathologist | 3327 Krail St, Philadelphia, PA 19129-1526 | 2020-09-08 |
| 1235749383 | Morgan Stanislaus | Speech-Language Pathologist | 633 W Rittenhouse St Apt B614, Philadelphia, PA 19144-4320 | 2020-08-04 |
| 1477163723 | Kimberly Lawlor | Speech-Language Pathologist | 657 N 22nd St, Philadelphia, PA 19130-3141 | 2020-08-02 |
| 1174141931 | Alyssa Delp | Speech-Language Pathologist | 1840 Torresdale Ave, Philadelphia, PA 19124-4418 | 2020-07-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on MISS ERICA DENISE TULLOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.