Provider Demographics
NPI:1497212757
Name:PULVERMACHER, ERICA (MSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:PULVERMACHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:GARBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7700 E FLORENTINE RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-2245
Mailing Address - Country:US
Mailing Address - Phone:928-538-8270
Mailing Address - Fax:
Practice Address - Street 1:7700 E FLORENTINE RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2245
Practice Address - Country:US
Practice Address - Phone:928-538-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker