Provider Demographics
NPI:1750968848
Name:TANSILL, ERIN C (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:C
Last Name:TANSILL
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 1:1102 A ST STE 302
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-5001
Mailing Address - Country:US
Mailing Address - Phone:253-843-7791
Mailing Address - Fax:253-201-4818
Practice Address - Street 1:1102 A ST STE 302
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5001
Practice Address - Country:US
Practice Address - Phone:253-843-7791
Practice Address - Fax:253-201-4818
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60513667103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical