Provider Demographics
NPI:1982637229
Name:HOLKER, ERIN (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:HOLKER
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE, MMC 390
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-2661
Mailing Address - Fax:612-624-6686
Practice Address - Street 1:909 FULTON ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-4800
Practice Address - Country:US
Practice Address - Phone:612-624-1412
Practice Address - Fax:612-624-4458
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP 4336103T00000X, 103TC0700X
MNLP4336103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP40506OtherHEALTHPARTNERS
MN61-74945OtherMEDICA CHOICE & PRIMARY
MN791122000OtherMN MA
MN1029903OtherPREFERRED ONE
MN173A7HOOtherBCBS
MT0493255Medicaid
MN141707OtherUCARE
MN1497538OtherARAZ