Provider Demographics
NPI:1912322116
Name:HULL, ERIN ELEECE (EDS)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:ELEECE
Last Name:HULL
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE DONHAM PLAZA, 4TH FLOOR
Mailing Address - Street 2:MCSD, ATTN: STUDENT SERVICES/PSYCHOLOGIST DEPT
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042
Mailing Address - Country:US
Mailing Address - Phone:513-423-0781
Mailing Address - Fax:
Practice Address - Street 1:4704 MILLER RD
Practice Address - Street 2:MCSD
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044
Practice Address - Country:US
Practice Address - Phone:513-423-0781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3107943103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool