Walworth, Erica L

Walworth, Erica L is an individual health care provider with primary practice located at 412 S Scott Rd , Fort Wayne IN 46814. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Walworth, Erica L can be contacted via phone (260) 358-7180.

Contact Information

Primary practice address
412 S Scott Rd Fort Wayne IN 46814
Phone: (260) 358-7180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37001673A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001890A Indiana

Profile Details

NPI number 1336255801
LBN Legal business name Walworth, Erica L
Credentials MS LMFT CEDS RDN LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 15th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336255801 NPPES
Other 0893263 AMERICAN DIETETIC ASSOCIA
Other 893263 AMERICAN DIETETIC ASSOCIA

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