Provider Demographics
NPI:1346238219
Name:HARWARD, ERIN R (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:R
Last Name:HARWARD
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:R
Other - Last Name:DOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCGC
Mailing Address - Street 1:127 S 500 E
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1959
Mailing Address - Country:US
Mailing Address - Phone:801-587-6336
Mailing Address - Fax:801-715-8228
Practice Address - Street 1:30 N 1900 E
Practice Address - Street 2:NEUROLOGY, UNIVERSITY OF UTAH
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0002
Practice Address - Country:US
Practice Address - Phone:801-585-9717
Practice Address - Fax:801-587-9346
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5714853-3601170300000X
ID170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS