Provider Demographics
NPI:1760030886
Name:RECTANUS, ERIN CARR (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CARR
Last Name:RECTANUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7104 WOODMONT CIR
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8596
Mailing Address - Country:US
Mailing Address - Phone:239-298-6810
Mailing Address - Fax:
Practice Address - Street 1:2223 LINDEN ST STE 101
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4806
Practice Address - Country:US
Practice Address - Phone:484-241-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-02
Last Update Date:2019-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional