Provider Demographics
NPI:1578102422
Name:RABBIN, ERICA (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:RABBIN
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:RIKKI
Other - Middle Name:
Other - Last Name:RABBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RDN, LDN
Mailing Address - Street 1:125 LOGANS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2048
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 LOGANS FERRY RD
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-2048
Practice Address - Country:US
Practice Address - Phone:724-994-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-24
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005946133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered