Wodka, Ericka Lisle
Wodka, Ericka Lisle is an sole proprietor health care provider with primary practice located at 3901 Greenspring Ave , Baltimore MD 21211-1353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wodka, Ericka Lisle can be contacted via phone (443) 923-7717.Contact Information
Primary practice address
3901 Greenspring Ave
Baltimore MD 21211-1353
Phone: (443) 923-7717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 04646 | Maryland |
Profile Details
| NPI number | 1033256342 |
|---|---|
| LBN Legal business name | Wodka, Ericka Lisle |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Sep 8th, 2008 - about 16 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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