Provider Demographics
NPI:1639803786
Name:RIGHTER, ERIN ALEXIS (MA, EDS)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ALEXIS
Last Name:RIGHTER
Suffix:
Gender:F
Credentials:MA, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 PRESIDENTIAL BLVD APT 809
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1719
Mailing Address - Country:US
Mailing Address - Phone:484-522-0115
Mailing Address - Fax:
Practice Address - Street 1:4000 PRESIDENTIAL BLVD APT 809
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1719
Practice Address - Country:US
Practice Address - Phone:484-522-0115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9078513103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool