Provider Demographics
NPI:1023440799
Name:WHETZEL, ERIKA K (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:K
Last Name:WHETZEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 PROSPECT AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-4230
Mailing Address - Country:US
Mailing Address - Phone:860-967-3174
Mailing Address - Fax:860-570-0003
Practice Address - Street 1:660 PROSPECT AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-4230
Practice Address - Country:US
Practice Address - Phone:860-967-3174
Practice Address - Fax:860-570-0003
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist