Provider Demographics
NPI:1285981894
Name:OWEN-SALTERS, ERIN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MARIE
Last Name:OWEN-SALTERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E CAMPBELL RD
Mailing Address - Street 2:SUITE 246
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-6706
Mailing Address - Country:US
Mailing Address - Phone:972-234-6626
Mailing Address - Fax:972-234-6652
Practice Address - Street 1:800 E CAMPBELL RD
Practice Address - Street 2:SUITE 246
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-6706
Practice Address - Country:US
Practice Address - Phone:972-234-6626
Practice Address - Fax:972-234-6652
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25772103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical