Healthcare Provider Details

I. General information

NPI: 1578857710
Provider Name (Legal Business Name): ERIN HEATHER DAMREN LSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 NH ROUTE 10
CROYDON NH
03773-6104
US

IV. Provider business mailing address

919 NH ROUTE 10
CROYDON NH
03773-6104
US

V. Phone/Fax

Practice location:
  • Phone: 207-504-2507
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2864
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: