Individual
DR. ERICA CUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1067 4TH ST, SOUTH LAKE TAHOE, CA 96150-3459
(530) 600-1968
(530) 541-3361
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A25010
CA
2084P0800X
Psychiatry Physician
25MB12209500
NJ
2084P0800X
Psychiatry Physician
329372
NY
2084P0800X
Psychiatry Physician
OS024346
PA
Other
Enumeration date
04/01/2020
Last updated
04/03/2026
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