Dr. Erica Burgoon, PHD
Psychologist, Clinical in Philadelphia, Pennsylvania
1417359167- Practice location
- 525 S 4TH St, Suite 417, Philadelphia, PA 19147-1570
- Phone
- 267-861-3685
- Fax
- —
- Last updated
- October 24, 2014
Erica Burgoon is a Psychologist, Clinical based in Philadelphia, PA. Erica Burgoon practices in Philadelphia, PA and has the professional credentials of PHD. The NPI Number for Erica Burgoon is 1417359167 and holds a License No. PS016552 (PA). The current practice location address for Erica Burgoon is 525 S 4TH St, Suite 417, Philadelphia, PA 19147-1570 and can be reached out via phone at 267-861-3685.
Provider Profile Details
- NPI Number
- 1417359167
- Provider Name
- Erica Burgoon
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 525 S 4TH St, Suite 417, Philadelphia, PA 19147-1570
- Phone Number
- 267-861-3685
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 24, 2014
- Last Update Date
- October 24, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 525 S 4TH St
Suite 417
Philadelphia, PA 19147-1570 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19147-1570
- Phone Number
- 267-861-3685
Provider Business Mailing Address Details
- Address
- 411 Westmont Ave
Haddonfield, NJ 08033-1716 - City
- Haddonfield
- State
- NJ
- Zip
- 08033-1716
- Phone Number
- 856-816-7098
License Information
- License Number (1)
- PS016552
- License State (1)
- PA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- B1-0000957
- License State (2)
- DE
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Erica Burgoon, PHD?
The NPI number of Dr. Erica Burgoon, PHD is 1417359167. It was assigned on September 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Erica Burgoon, PHD?
Dr. Erica Burgoon, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PA under license number PS016552.
Where does Dr. Erica Burgoon, PHD practice?
The practice location is 525 S 4TH St, Suite 417, Philadelphia, PA 19147-1570. The office can be reached at 267-861-3685 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417359167 directly on the NPPES registry website.