Provider Demographics
NPI:1699264861
Name:MAILMAN, ERIN M (LMFT-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:MAILMAN
Suffix:
Gender:F
Credentials:LMFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 WEST ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-6800
Mailing Address - Country:US
Mailing Address - Phone:978-317-4014
Mailing Address - Fax:
Practice Address - Street 1:188 WEST ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-6800
Practice Address - Country:US
Practice Address - Phone:978-317-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXM4949106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist