Provider Demographics
NPI:1043085392
Name:BROWN-HARDWICK, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:BROWN-HARDWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2658 N 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-1505
Mailing Address - Country:US
Mailing Address - Phone:414-234-2605
Mailing Address - Fax:
Practice Address - Street 1:2658 N 21ST ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-1505
Practice Address - Country:US
Practice Address - Phone:414-234-2605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst