Provider Demographics
NPI:1588044937
Name:VEDRANI, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:VEDRANI
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 1:158 WHITEHALL RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1017
Mailing Address - Country:US
Mailing Address - Phone:978-873-0070
Mailing Address - Fax:
Practice Address - Street 1:158 WHITEHALL RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-1017
Practice Address - Country:US
Practice Address - Phone:978-873-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health