Provider Demographics
NPI:1114144383
Name:HOMANN, ERIKA FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:FRANCES
Last Name:HOMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 WASHTENAW AVE.
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4526
Mailing Address - Country:US
Mailing Address - Phone:734-995-2725
Mailing Address - Fax:
Practice Address - Street 1:2350 WASHTENAW AVE.
Practice Address - Street 2:SUITE 7
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4526
Practice Address - Country:US
Practice Address - Phone:734-995-2725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6301008411OtherPROFESSIONAL LICENSE
MI6301008411OtherPROFESSIONAL LICENSE