Individual
DR. STANTON ROY ERLICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LMFT CAP CEDS
Contact information
Practice address
3450 NORTHLAKE BLVD, ERE ASSOCIATES SUITE 212, PALM BEACH GARDENS, FL 33403-1712
(561) 626-8070
(561) 626-2828
Mailing address
7325 SW 63RD AVENUE, ERE ASSOCIATES SUITE 101, SOUTH MIAMI, FL 33143-4812
(305) 284-1143
(305) 667-9880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C762
FL
106H00000X
Marriage & Family Therapist
Primary
MT1462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z5108
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/26/2007
Last updated
10/26/2007
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