Provider Demographics
NPI:1063460202
Name:SALTZBURG, ERIN JAMESON (LCSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:JAMESON
Last Name:SALTZBURG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:L
Other - Last Name:JAMESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:558 W UWCHLAN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-3050
Mailing Address - Country:US
Mailing Address - Phone:484-879-4292
Mailing Address - Fax:484-879-4290
Practice Address - Street 1:558 W UWCHLAN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-3050
Practice Address - Country:US
Practice Address - Phone:484-879-4292
Practice Address - Fax:484-879-4290
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014486101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor