Provider Demographics
NPI:1700217510
Name:DOTTERY, ERIN JULIA
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:JULIA
Last Name:DOTTERY
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 1:19805 GLEN BRAE DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5066
Mailing Address - Country:US
Mailing Address - Phone:408-799-0755
Mailing Address - Fax:
Practice Address - Street 1:19805 GLEN BRAE DR
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5066
Practice Address - Country:US
Practice Address - Phone:408-799-0755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor