Erin Depuy Liestman, is a
Student In An Organized Health Care Education/training Program based in El Cajon, California. Erin Depuy Liestman is licensed to practice in * (Not Available) (license number ) and her current practice location is
1664 Broadway, El Cajon, California. She can be reached at her office (for appointments etc.) via phone at
(714) 404-8419.
NPI number for Erin Depuy Liestman is 1801438775 and her current mailing address is 1664 Broadway, El Cajon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801438775.
Healthcare Provider's Profile
Full Name | Erin Depuy Liestman |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1664 Broadway, El Cajon, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801438775
- Provider Enumeration Date: 10/11/2019
- Last Update Date: 08/10/2021
Medical Identifiers
Medical identifiers for Erin Depuy Liestman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801438775 | NPI | - | NPPES |
1700919735 | Other | CA | SAN DIEGO CENTER FOR CHILDREN |
1760431670 | Other | CA | COMMUNITY AND SCHOOL BASED COUNSELING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erin Depuy Liestman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erin Depuy Liestman, 1664 Broadway, El Cajon, CA 92021-5201 Ph: (714) 404-8419 | Erin Depuy Liestman, 1664 Broadway, El Cajon, CA 92021-5201 Ph: (714) 404-8419 |
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