Provider Demographics
NPI:1063833143
Name:SUDLER, ERIC JR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:SUDLER
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 TYWYN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8741
Mailing Address - Country:US
Mailing Address - Phone:302-383-0662
Mailing Address - Fax:
Practice Address - Street 1:1021 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1201
Practice Address - Country:US
Practice Address - Phone:302-430-7900
Practice Address - Fax:302-424-4163
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE96063103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool