Provider Demographics
NPI:1417780891
Name:RABER, ERIN (MA, MT-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:RABER
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 3RD AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-4507
Mailing Address - Country:US
Mailing Address - Phone:510-295-5910
Mailing Address - Fax:
Practice Address - Street 1:33 3RD AVE APT 211
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-4507
Practice Address - Country:US
Practice Address - Phone:510-295-5910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16858225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist