Provider Demographics
NPI:1386665313
Name:ERBER, STEPHANIE L (PHD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:ERBER
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 1:1753 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2231
Mailing Address - Country:US
Mailing Address - Phone:857-998-1681
Mailing Address - Fax:
Practice Address - Street 1:1753 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2231
Practice Address - Country:US
Practice Address - Phone:857-998-1681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0014257OtherNEIGHBORHOOD HEALTH PLAN
MA669494OtherTUFTS HEALTH PLAN