Provider Demographics
NPI:1225776727
Name:ERBA, HEATHER WHITEFORD (PHD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:WHITEFORD
Last Name:ERBA
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 1:1361 S WINCHESTER BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4328
Mailing Address - Country:US
Mailing Address - Phone:408-887-1614
Mailing Address - Fax:
Practice Address - Street 1:1361 S WINCHESTER BLVD STE 109
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4328
Practice Address - Country:US
Practice Address - Phone:408-887-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator