Provider Demographics
NPI:1730355397
Name:WAHL, ERICA ANNA (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:ANNA
Last Name:WAHL
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 PERRY PKWY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2142
Mailing Address - Country:US
Mailing Address - Phone:833-436-3832
Mailing Address - Fax:201-605-6582
Practice Address - Street 1:201 PERRY PKWY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2140
Practice Address - Country:US
Practice Address - Phone:833-436-3832
Practice Address - Fax:201-605-6582
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS