Provider Demographics
NPI:1467761023
Name:ERKFRITZ-GAY, KARYN N (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARYN
Middle Name:N
Last Name:ERKFRITZ-GAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KARYN
Other - Middle Name:N
Other - Last Name:ERKFRITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:760 FOXPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3221
Mailing Address - Country:US
Mailing Address - Phone:815-748-8334
Mailing Address - Fax:815-748-8921
Practice Address - Street 1:1 KISH HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-9602
Practice Address - Country:US
Practice Address - Phone:815-748-8334
Practice Address - Fax:815-748-8921
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007976103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent