Provider Demographics
NPI:1730800863
Name:WALKER, ERIN (MED, EDS, NCSP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MED, EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-3014
Mailing Address - Country:US
Mailing Address - Phone:603-382-7146
Mailing Address - Fax:603-382-2782
Practice Address - Street 1:120 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3014
Practice Address - Country:US
Practice Address - Phone:603-382-7146
Practice Address - Fax:603-382-2782
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH100494103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool