Provider Demographics
NPI:1053749267
Name:ANDERSON, ERIKA KAYE (MA, LPC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:KAYE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 MARKET ST STE 203
Mailing Address - Street 2:
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1500
Mailing Address - Country:US
Mailing Address - Phone:717-897-0484
Mailing Address - Fax:
Practice Address - Street 1:875 MARKET ST STE 203
Practice Address - Street 2:
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1500
Practice Address - Country:US
Practice Address - Phone:717-897-0484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007175101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor