Provider Demographics
NPI:1518006261
Name:CZERWINSKI, ERIKA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:CZERWINSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 FILE ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:GA
Mailing Address - Zip Code:30525-3023
Mailing Address - Country:US
Mailing Address - Phone:510-919-4006
Mailing Address - Fax:
Practice Address - Street 1:236 FILE ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-3023
Practice Address - Country:US
Practice Address - Phone:706-212-2037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9906OtherBIS #