Provider Demographics
NPI:1326368796
Name:ERICKSON, STEVEN K (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:ERICKSON
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 1:2550 KINGSTON RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2550 KINGSTON RD
Practice Address - Street 2:SUITE 309
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3735
Practice Address - Country:US
Practice Address - Phone:717-902-9884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016652103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical