Provider Demographics
NPI:1942181789
Name:ERIN D THERAPY
Entity type:Organization
Organization Name:ERIN D THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIERICKX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-313-3759
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-0392
Mailing Address - Country:US
Mailing Address - Phone:206-313-3759
Mailing Address - Fax:
Practice Address - Street 1:310 N MERIDIAN STE 202
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-8644
Practice Address - Country:US
Practice Address - Phone:206-313-3759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty