Healthcare Provider Details

I. General information

NPI: 1083749014
Provider Name (Legal Business Name): ERIN SKAFF VANDENWEGHE PSY.D., M.P.A.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN SKAFF VANDENWEGHE PSY.D., M.P.A.P.

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST STE 319&320B
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

3525 PRYTANIA ST STE 319&320B
NEW ORLEANS LA
70115-3500
US

V. Phone/Fax

Practice location:
  • Phone: 504-233-9006
  • Fax:
Mailing address:
  • Phone: 504-233-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number961
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number961
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License NumberMPAP.000040
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: