Provider Demographics
NPI:1467021253
Name:LOUGY, ERIN KATHLEEN (LBS, M ED)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:LOUGY
Suffix:
Gender:F
Credentials:LBS, M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 BOTTORF DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7128
Mailing Address - Country:US
Mailing Address - Phone:814-574-9828
Mailing Address - Fax:
Practice Address - Street 1:318 BOTTORF DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7128
Practice Address - Country:US
Practice Address - Phone:814-574-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH00295106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst