Provider Demographics
NPI:1134317795
Name:SCHLOSSER, ERIK N (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:N
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 FOUNTAIN ST
Mailing Address - Street 2:#205
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1725
Mailing Address - Country:US
Mailing Address - Phone:315-853-8080
Mailing Address - Fax:
Practice Address - Street 1:2 FOUNTAIN ST
Practice Address - Street 2:#205
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1725
Practice Address - Country:US
Practice Address - Phone:315-853-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016901103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical