Provider Demographics
NPI:1588630289
Name:MESSER, ERICA PEARL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:PEARL
Last Name:MESSER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:SUSSKIND
Other - Last Name:PEARL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:ML 5021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-636-5013
Mailing Address - Fax:866-213-7084
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:ML 3008
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-7233
Practice Address - Fax:513-636-0204
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6190103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist