Provider Demographics
NPI:1245580612
Name:GORTER, ERIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:GORTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 STEILACOOM BLVD. SW
Mailing Address - Street 2:CHILD STUDY AND TREATMENT CENTER
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-4771
Mailing Address - Country:US
Mailing Address - Phone:253-756-3956
Mailing Address - Fax:
Practice Address - Street 1:8805 STEILACOOM BLVD. SW
Practice Address - Street 2:CHILD STUDY AND TREATMENT CENTER
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-4771
Practice Address - Country:US
Practice Address - Phone:253-756-3956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60284262103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist