Individual
MS. DONNA M ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 OLIVER ST, WADING RIVER, NY 11792-1037
(631) 790-9796
Mailing address
43 OLIVER ST, WADING RIVER, NY 11792-1037
(631) 790-9796
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942438
STUDENTS WITH DISABILITIE
NY
Enumeration date
08/20/2007
Last updated
08/20/2007
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