Provider Demographics
NPI:1770288722
Name:SKAGGS, ERINNE LEIGH (MED)
Entity type:Individual
Prefix:
First Name:ERINNE
Middle Name:LEIGH
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 HAWK HAVEN CT
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-1433
Mailing Address - Country:US
Mailing Address - Phone:509-873-9198
Mailing Address - Fax:
Practice Address - Street 1:2159 HAWK HAVEN CT
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-1433
Practice Address - Country:US
Practice Address - Phone:509-873-9198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health