Provider Demographics
NPI:1053850271
Name:TAPIA, ERIKA MARIE
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARIE
Last Name:TAPIA
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 1:63 AUTUMN ST
Mailing Address - Street 2:APT 1
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-2405
Mailing Address - Country:US
Mailing Address - Phone:857-492-9695
Mailing Address - Fax:
Practice Address - Street 1:63 AUTUMN ST
Practice Address - Street 2:APT 1
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-2405
Practice Address - Country:US
Practice Address - Phone:857-492-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor