Provider Demographics
NPI:1134312952
Name:FRIEZE, ERIKA ANNELL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ANNELL
Last Name:FRIEZE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:ANNELL
Other - Last Name:BLUSEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1207 FAIRCHILD CT
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-4321
Mailing Address - Country:US
Mailing Address - Phone:530-668-2600
Mailing Address - Fax:530-668-6463
Practice Address - Street 1:1550 HARBOR BLVD STE 206
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3828
Practice Address - Country:US
Practice Address - Phone:530-302-5791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22737103TC0700X
CAPSY22737103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1679127187OtherNPI2