Provider Demographics
NPI:1396386645
Name:SOEHLE, ERIN A
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:A
Last Name:SOEHLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 UNION ST APT 124
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-7111
Mailing Address - Country:US
Mailing Address - Phone:858-373-7702
Mailing Address - Fax:
Practice Address - Street 1:325 2ND ST STE 203
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0591
Practice Address - Country:US
Practice Address - Phone:707-981-3575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician