Basic Information
| Provider Information | |||||||||
| NPI: | 1982637229 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLKER | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD, LP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 420 DELAWARE STREET SE, MMC 390 | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126252661 | ||||||||
| FaxNumber: | 6126246686 | ||||||||
| Practice Location | |||||||||
| Address1: | 909 FULTON ST SE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554554800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126241412 | ||||||||
| FaxNumber: | 6126244458 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 08/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | LP 4336 | MN | N | Behavioral Health & Social Service Providers | Psychologist | 103TC0700X | LP 4336 | MN | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103G00000X | LP4336 | MN | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |
ID Information
| ID | Type | State | Issuer | Description | HP40506 | 01 | MN | HEALTHPARTNERS | OTHER | 61-74945 | 01 | MN | MEDICA CHOICE & PRIMARY | OTHER | 791122000 | 01 | MN | MN MA | OTHER | 1029903 | 01 | MN | PREFERRED ONE | OTHER | 173A7HO | 01 | MN | BCBS | OTHER | 0493255 | 05 | MT | MEDICAID | 141707 | 01 | MN | UCARE | OTHER | 1497538 | 01 | MN | ARAZ | OTHER |