Provider Demographics
NPI:1952694408
Name:HOLTERMANN, ERIKA SWIFT (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:SWIFT
Last Name:HOLTERMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:SWIFT
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:18673 WESSEX ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1036
Mailing Address - Country:US
Mailing Address - Phone:858-243-3245
Mailing Address - Fax:858-217-6973
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2435
Practice Address - Country:US
Practice Address - Phone:858-243-3245
Practice Address - Fax:858-217-6919
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24132103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical