Provider Demographics
NPI:1952523201
Name:ERWIN-MAHLIOS, ERIN ANN (ED D)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ANN
Last Name:ERWIN-MAHLIOS
Suffix:
Gender:F
Credentials:ED D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 N KENDRICK ST
Mailing Address - Street 2:SUITE NUMBER 3
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1598
Mailing Address - Country:US
Mailing Address - Phone:928-699-1599
Mailing Address - Fax:928-527-4930
Practice Address - Street 1:416 N KENDRICK ST
Practice Address - Street 2:SUITE # 3
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1598
Practice Address - Country:US
Practice Address - Phone:928-774-7778
Practice Address - Fax:928-913-0891
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3346103TS0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool