Provider Demographics
NPI:1558523423
Name:MUSSER, ERICA DAWN (PHD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:DAWN
Last Name:MUSSER
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 1:4035 SW 9TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2633
Mailing Address - Country:US
Mailing Address - Phone:585-317-4382
Mailing Address - Fax:
Practice Address - Street 1:4035 SW 9TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-2633
Practice Address - Country:US
Practice Address - Phone:585-317-4382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026404103TC0700X
FLPY9825103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical