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Contact Information

ERIN D THEODOROU, M.ED, LPC, NCC
590 FRANKLIN AVE SUITE 2
NUTLEY, NJ07110
 Phone: 973-963-7485
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ERIN D THEODOROU · (Female)

NPI Number 1144743162
Status Active
Credentials M.ED, LPC, NCC
Entity Individual
Enumeration date 07/21/2017
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 37PC00640900
  • NJ Other 37PC00640900 LPC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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