Provider Demographics
NPI:1710095377
Name:ERICA BURDEN, PH.D. AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ERICA BURDEN, PH.D. AND ASSOCIATES, INC.
Other - Org Name:THE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:BETINA
Authorized Official - Middle Name:LACEY
Authorized Official - Last Name:BURDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-657-6052
Mailing Address - Street 1:PO BOX 5794
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-5794
Mailing Address - Country:US
Mailing Address - Phone:281-657-6052
Mailing Address - Fax:281-657-6052
Practice Address - Street 1:2323 TIMBER SHADOWS DR
Practice Address - Street 2:SUITE B
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2028
Practice Address - Country:US
Practice Address - Phone:281-657-6052
Practice Address - Fax:281-657-6052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0064AKMedicare ID - Type Unspecified