Individual
ERICA PARADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 RADCLIFF CIR, PORTSMOUTH, VA 23703-4615
(757) 613-2235
Mailing address
5105 RADCLIFF CIR, PORTSMOUTH, VA 23703-4615
(757) 613-2235
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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