Individual
ERIKA BROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 E 23RD ST, NEW YORK, NY 10010-4511
(360) 739-5863
Mailing address
69 CHRYSTIE ST APT 3A, NEW YORK, NY 10002-5051
(360) 739-5863
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
111010
NY
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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