Provider Demographics
NPI:1932341658
Name:KAWAMURA, ERIKA (PSYD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:KAWAMURA
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 1:4200 MONUMENT ROAD
Mailing Address - Street 2:BELMONT CENTER
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19131
Mailing Address - Country:US
Mailing Address - Phone:215-877-2000
Mailing Address - Fax:215-581-3827
Practice Address - Street 1:4200 MONUMENT ROAD
Practice Address - Street 2:BELMONT CENTER
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19131
Practice Address - Country:US
Practice Address - Phone:215-877-2000
Practice Address - Fax:215-581-3827
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016607103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist