Provider Demographics
NPI:1154622926
Name:SELTZER, ERIN BERKOW (MA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:BERKOW
Last Name:SELTZER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17300 N OUTER 40 RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1364
Mailing Address - Country:US
Mailing Address - Phone:636-532-8333
Mailing Address - Fax:636-532-8334
Practice Address - Street 1:17300 N OUTER 40 RD
Practice Address - Street 2:SUITE 212
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1364
Practice Address - Country:US
Practice Address - Phone:636-532-8333
Practice Address - Fax:636-532-8334
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor