Provider Demographics
NPI:1851422828
Name:GIERMAN, ERICA (MS, MFT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:GIERMAN
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 PACIFIC COAST HWY STE 208
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-2753
Mailing Address - Country:US
Mailing Address - Phone:310-528-6724
Mailing Address - Fax:
Practice Address - Street 1:2309 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 208
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2751
Practice Address - Country:US
Practice Address - Phone:310-528-6724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist