Provider Demographics
NPI:1255003182
Name:ESPOSITO, ERIN ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ANNE
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ANNE
Other - Last Name:HYLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5406 DRAWBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1387
Mailing Address - Country:US
Mailing Address - Phone:484-802-0576
Mailing Address - Fax:
Practice Address - Street 1:1103 KINGS HWY N STE 101
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1983
Practice Address - Country:US
Practice Address - Phone:484-802-0576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019115103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty