Provider Demographics
NPI:1649421587
Name:ERH INC
Entity Type:Organization
Organization Name:ERH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:FENLASON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:425-275-2637
Mailing Address - Street 1:PO BOX 60261
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98160-0261
Mailing Address - Country:US
Mailing Address - Phone:425-275-2637
Mailing Address - Fax:206-363-9639
Practice Address - Street 1:2611 NE 125TH ST
Practice Address - Street 2:SUITE 111
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4373
Practice Address - Country:US
Practice Address - Phone:425-275-2637
Practice Address - Fax:206-299-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60090118103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty