Provider Demographics
NPI:1952468613
Name:ROSENFELD, ERICA FLORENCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:FLORENCE
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 1ST ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4736
Mailing Address - Country:US
Mailing Address - Phone:909-625-7730
Mailing Address - Fax:909-625-3352
Practice Address - Street 1:250 W 1ST ST
Practice Address - Street 2:SUITE 216
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4736
Practice Address - Country:US
Practice Address - Phone:909-625-7730
Practice Address - Fax:909-625-3352
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6765103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist