Provider Demographics
NPI:1033810478
Name:SLAWTER, ERIN MORGAN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MORGAN
Last Name:SLAWTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17722 N 79TH AVE APT 2171
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8681
Mailing Address - Country:US
Mailing Address - Phone:610-209-0210
Mailing Address - Fax:
Practice Address - Street 1:10150 W DESERT RIVER BLVD STE 160
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85307-3010
Practice Address - Country:US
Practice Address - Phone:623-680-2684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH-001115103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst