Provider Demographics
NPI:1598072993
Name:DOUKAS, ERIKA LEE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LEE
Last Name:DOUKAS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 W END AVE
Mailing Address - Street 2:SUITE ONE B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-0135
Mailing Address - Country:US
Mailing Address - Phone:212-721-0433
Mailing Address - Fax:
Practice Address - Street 1:240 W END AVE
Practice Address - Street 2:SUITE ONE B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-0135
Practice Address - Country:US
Practice Address - Phone:212-721-0433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0117555103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical