Individual
ERICKA BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.; PSYD
Contact information
Practice address
7801 N LAMAR BLVD, STE. B169, AUSTIN, TX 78752-1016
(512) 343-8307
(512) 524-2230
Mailing address
7801 N LAMAR BLVD, STE. B169, AUSTIN, TX 78752-1016
(512) 343-8307
(512) 524-2230
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334996101
—
TX
Enumeration date
04/03/2014
Last updated
10/28/2014
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