Provider Demographics
NPI:1295083368
Name:SKIFFER, ERIN SCOLLIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:SCOLLIN
Last Name:SKIFFER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:KATHLEEN
Other - Last Name:SCOLLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 TAMAL VISTA BLVD STE 162
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1146
Mailing Address - Country:US
Mailing Address - Phone:415-870-1425
Mailing Address - Fax:
Practice Address - Street 1:21 TAMAL VISTA BLVD STE 162
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1146
Practice Address - Country:US
Practice Address - Phone:415-870-1425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27007103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist