Provider Demographics
NPI:1134443567
Name:MORGAN, ERIN DANIELLE (LPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:DANIELLE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9361 MUSSELMAN DR
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-5867
Mailing Address - Country:US
Mailing Address - Phone:805-610-0551
Mailing Address - Fax:
Practice Address - Street 1:9361 MUSSELMAN DR
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-5867
Practice Address - Country:US
Practice Address - Phone:805-610-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-14
Last Update Date:2010-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 35224101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health