Provider Demographics
NPI:1669662482
Name:NEUBERG, ERIKA SCHUPAK (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:SCHUPAK
Last Name:NEUBERG
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 1:7411 E 6TH AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3524
Mailing Address - Country:US
Mailing Address - Phone:480-421-9300
Mailing Address - Fax:480-970-0070
Practice Address - Street 1:7411 E 6TH AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3524
Practice Address - Country:US
Practice Address - Phone:480-421-9300
Practice Address - Fax:480-970-0070
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3114103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical