Walles, Erica Lyn
Walles, Erica Lyn is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1335. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Walles, Erica Lyn can be contacted via phone (570) 271-6516.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-1335
Phone: (570) 271-6516
Fax: (570) 271-5814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS016174 | Pennsylvania |
Profile Details
| NPI number | 1245249986 |
|---|---|
| LBN Legal business name | Walles, Erica Lyn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jan 18th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245249986 | NPPES |
| Pennsylvania | MEDICAID | 1017660620001 |
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