Provider Demographics
NPI:1669289112
Name:GADSON, ERICA M
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:M
Last Name:GADSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3943 WINCHESTER RD APT B102
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:AL
Mailing Address - Zip Code:35761-7405
Mailing Address - Country:US
Mailing Address - Phone:561-814-4344
Mailing Address - Fax:
Practice Address - Street 1:3943 WINCHESTER RD APT B102
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:AL
Practice Address - Zip Code:35761-7405
Practice Address - Country:US
Practice Address - Phone:561-814-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician