Provider Demographics
NPI:1851864532
Name:EVANS, ERIKA (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 E DURHAM ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1824
Mailing Address - Country:US
Mailing Address - Phone:215-527-4248
Mailing Address - Fax:
Practice Address - Street 1:1407 BETHLEHEM PIKE FL 2
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1946
Practice Address - Country:US
Practice Address - Phone:215-527-4248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-06
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist