Provider Demographics
NPI:1366758997
Name:BOCKNEK, ERIKA LONDON (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LONDON
Last Name:BOCKNEK
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27172 WOODWARD AVENUE SUITE 200
Mailing Address - Street 2:RELATIONSHIP INSTITUTE
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067
Mailing Address - Country:US
Mailing Address - Phone:248-546-0407
Mailing Address - Fax:
Practice Address - Street 1:27172 WOOD AVENUVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0000
Practice Address - Country:US
Practice Address - Phone:248-546-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006313106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist