Healthcare Provider Details

I. General information

NPI: 1548609027
Provider Name (Legal Business Name): ERIN MAUREEN OLEARY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 02/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GEORGE MASON DR #170
ARLINGTON VA
22205-3601
US

IV. Provider business mailing address

1635 N GEORGE MASON DR #170
ARLINGTON VA
22205-3601
US

V. Phone/Fax

Practice location:
  • Phone: 202-768-1279
  • Fax:
Mailing address:
  • Phone: 202-768-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC000377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: