Doctor Name: | ERIN WALKER-LODGE |
NPI Number: | 1922431139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC |
License Number: | PC007033 |
Business Practice Address: | 243 Johnston Rd Upper Saint Clair, PA - 152412534 |
Business Phone Number: | 4128336444 |
Business Fax Number: | |
Mailing Address: | 143 Buckingham Dr, PITTSBURGH |
State: | PA |
Postal Code: | 152371331 |
Phone Number: | 9372325890 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC007033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |