Provider Demographics
NPI:1770139503
Name:EROPKIN, EVAN
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:EROPKIN
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 1:2340 CAROL VIEW DR APT E114
Mailing Address - Street 2:
Mailing Address - City:CARDIFF BY THE SEA
Mailing Address - State:CA
Mailing Address - Zip Code:92007-2030
Mailing Address - Country:US
Mailing Address - Phone:559-289-2732
Mailing Address - Fax:
Practice Address - Street 1:2340 CAROL VIEW DR APT E114
Practice Address - Street 2:
Practice Address - City:CARDIFF BY THE SEA
Practice Address - State:CA
Practice Address - Zip Code:92007-2030
Practice Address - Country:US
Practice Address - Phone:559-289-2732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool