Widera, Erika Kristen

Widera, Erika Kristen is an individual health care provider with primary practice located at 9500 Etiwanda Ave , Rancho Cucamonga CA 91739-9662. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Widera, Erika Kristen can be contacted via phone (909) 463-5196.

Contact Information

Primary practice address
9500 Etiwanda Ave Rancho Cucamonga CA 91739-9662
Phone: (909) 463-5196
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1255589230
LBN Legal business name Widera, Erika Kristen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Jan 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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