Provider Demographics
NPI:1972894574
Name:FALK, ERIN M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:M
Last Name:FALK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STRAUBE CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1468
Mailing Address - Country:US
Mailing Address - Phone:609-737-7797
Mailing Address - Fax:
Practice Address - Street 1:100 STRAUBE CENTER, CMHS
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1107
Practice Address - Country:US
Practice Address - Phone:609-737-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00494200103T00000X
NJ101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist