Individual
ERIN MAUREEN O'BRIEN VEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3535 MARKET ST STE 670, PHILADELPHIA, PA 19104-3309
(610) 453-7463
Mailing address
3535 MARKET ST STE 670, PHILADELPHIA, PA 19104-3309
(610) 453-7463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35SI00557800
NJ
103TC0700X
Clinical Psychologist
PS01161
RI
103TC0700X
Clinical Psychologist
Primary
PS018052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35SI00557800
PROFESSIONAL LICENSE
NJ
01
—
PS01161
PROFESSIONAL LICENSE
RI
01
—
PS018052
PROFESSIONAL LICENSE
PA
Enumeration date
12/28/2009
Last updated
01/15/2018
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