Provider Demographics
NPI:1922431139
Name:WALKER-LODGE, ERIN (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WALKER-LODGE
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1331
Mailing Address - Country:US
Mailing Address - Phone:937-232-5890
Mailing Address - Fax:
Practice Address - Street 1:243 JOHNSTON RD
Practice Address - Street 2:
Practice Address - City:UPPER SAINT CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-2534
Practice Address - Country:US
Practice Address - Phone:412-833-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007033101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional