Provider Demographics
NPI:1568190338
Name:ASTIN, ERIN TRUEBLOOD
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TRUEBLOOD
Last Name:ASTIN
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 1:127 BROADWAY STE 205
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2330
Mailing Address - Country:US
Mailing Address - Phone:310-896-5568
Mailing Address - Fax:
Practice Address - Street 1:127 BROADWAY STE 205
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2330
Practice Address - Country:US
Practice Address - Phone:310-896-5568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist