Provider Demographics
NPI:1871313924
Name:LEPPLA, ERIKA LYN
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYN
Last Name:LEPPLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 E COUNTY ROAD 36
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-9727
Mailing Address - Country:US
Mailing Address - Phone:567-230-0770
Mailing Address - Fax:
Practice Address - Street 1:625 N SANDUSKY AVE
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-1037
Practice Address - Country:US
Practice Address - Phone:419-294-8570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health