Provider Demographics
NPI:1225357270
Name:TOBROCKE, ERIKA J (MSED, CAS)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:J
Last Name:TOBROCKE
Suffix:
Gender:F
Credentials:MSED, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MARGARET STREET
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1290
Mailing Address - Country:US
Mailing Address - Phone:518-561-6361
Mailing Address - Fax:
Practice Address - Street 1:185 MARGARET STREET
Practice Address - Street 2:SUITE 1000
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1290
Practice Address - Country:US
Practice Address - Phone:518-561-6361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1246952101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool