Provider Demographics
NPI:1396082350
Name:PARDEE, ERIK
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:
Last Name:PARDEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 JONATHAN JUDD CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-9491
Mailing Address - Country:US
Mailing Address - Phone:413-265-5120
Mailing Address - Fax:
Practice Address - Street 1:21 JONATHAN JUDD CIR
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-9491
Practice Address - Country:US
Practice Address - Phone:413-265-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)