Provider Demographics
NPI:1295920767
Name:APPLEZWEIG BLAESI, ERICA LOUISE (PHD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:LOUISE
Last Name:APPLEZWEIG BLAESI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:LOUISE
Other - Last Name:APPLEZWEIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:HOHENHEIMER STR. 44
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:70184
Mailing Address - Zip Code:70184
Mailing Address - Country:DE
Mailing Address - Phone:0114971-124-4297
Mailing Address - Fax:0114971-124-4297
Practice Address - Street 1:LANGE STR. 51
Practice Address - Street 2:4TH FLOOR
Practice Address - City:STUTTGART
Practice Address - State:70174
Practice Address - Zip Code:70174
Practice Address - Country:DE
Practice Address - Phone:0114971-124-4297
Practice Address - Fax:0114971-124-4297
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010946103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical