Provider Demographics
NPI:1376714659
Name:HANAUMI, ERIKA LYNN (BS)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:LYNN
Last Name:HANAUMI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:RIKY
Other - Middle Name:LYNN
Other - Last Name:HANAUMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:2416 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3290
Mailing Address - Country:US
Mailing Address - Phone:714-966-9999
Mailing Address - Fax:714-966-9996
Practice Address - Street 1:2416 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3290
Practice Address - Country:US
Practice Address - Phone:714-966-9999
Practice Address - Fax:714-966-9996
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health