Provider Demographics
NPI:1477187086
Name:CHIOMA, ERINN (EDD)
Entity Type:Individual
Prefix:DR
First Name:ERINN
Middle Name:
Last Name:CHIOMA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W CLAIBORNE RD APT 203
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-3476
Mailing Address - Country:US
Mailing Address - Phone:302-397-9040
Mailing Address - Fax:
Practice Address - Street 1:411 W CLAIBORNE RD APT 203
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-3476
Practice Address - Country:US
Practice Address - Phone:302-397-9040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1168419103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst