Provider Demographics
NPI:1083749014
Name:SKAFF VANDENWEGHE, ERIN (PSYD, MPAP)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:SKAFF VANDENWEGHE
Suffix:
Gender:F
Credentials:PSYD, MPAP
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SKAFF VANDENWEGHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, MPAP
Mailing Address - Street 1:3525 PRYTANIA ST STE 319&320B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3500
Mailing Address - Country:US
Mailing Address - Phone:504-233-9006
Mailing Address - Fax:
Practice Address - Street 1:3525 PRYTANIA ST STE 319&320B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3500
Practice Address - Country:US
Practice Address - Phone:504-233-9006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA961103TB0200X, 103TC0700X
LAMPAP.000040103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H332Medicare ID - Type Unspecified