Provider Demographics
NPI:1316201411
Name:DEAN, ERICA D'ANNA (MSW, P-LCSW)
Entity Type:Individual
Prefix:MISS
First Name:ERICA
Middle Name:D'ANNA
Last Name:DEAN
Suffix:
Gender:F
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 SOUTH STEELE STREET
Mailing Address - Street 2:CENTER FOR BEHAVIOR HEALTHCARE, PA
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330
Mailing Address - Country:US
Mailing Address - Phone:919-776-0303
Mailing Address - Fax:
Practice Address - Street 1:138 SOUTH STEELE STREET
Practice Address - Street 2:CENTER FOR BEHAVIOR HEALTHCARE, PA
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330
Practice Address - Country:US
Practice Address - Phone:919-776-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP006962103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst