Healthcare Provider Details

I. General information

NPI: 1578444907
Provider Name (Legal Business Name): ERIN DEBRA BOOKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 MIDDLESEX DR
MIDDLETOWN DE
19709-8333
US

IV. Provider business mailing address

527 MIDDLESEX DR
MIDDLETOWN DE
19709-8333
US

V. Phone/Fax

Practice location:
  • Phone: 302-358-9482
  • Fax:
Mailing address:
  • Phone: 302-358-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005643
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: