Donna M Erickson
Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Wading River, NY
NPI 1366635872 · NPPES record last updated Aug 20, 2007
Key facts
- NPI
- 1366635872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual & Developmental Disabilities Psychologist 103TM1800X
- Practice address
- 43 Oliver St
Wading River, NY 11792-1037 - Phone
- (631) 790-9796
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Yes |
Addresses
Primary practice location
43 Oliver St
Wading River, NY 11792-1037
Mailing address
43 Oliver St
Wading River, NY 11792-1037
Phone (631) 790-9796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942438 | Other | NY | STUDENTS WITH DISABILITIE |
Other providers in Wading River, NY
- Evette M Downey
- Ryan J Doyle
- Linda C Duruan
- Karina Susanne Ellis
- Ellyn Gately, OT, PLLC
- Kyle Raymond Eskridge
- Debbie Lou Falborn
- Family Care Medical Center
- Christopher F Favazza
- Karen Marie Fields
All providers in Wading River, NY · Intellectual & Developmental Disabilities Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.