Provider Demographics
NPI:1154501625
Name:DULLAGHAN, ERIN (PSYD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:DULLAGHAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E PETTIGREW ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3712
Mailing Address - Country:US
Mailing Address - Phone:919-741-3142
Mailing Address - Fax:
Practice Address - Street 1:302 E PETTIGREW ST
Practice Address - Street 2:SUITE 304
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3712
Practice Address - Country:US
Practice Address - Phone:919-741-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3971103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical