Provider Demographics
NPI:1730415209
Name:ERLICH, ANDREW B (PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:B
Last Name:ERLICH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3666 N MILLER RD STE 113
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4534
Mailing Address - Country:US
Mailing Address - Phone:480-367-7280
Mailing Address - Fax:480-368-7278
Practice Address - Street 1:3666 N MILLER RD STE 113
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-4534
Practice Address - Country:US
Practice Address - Phone:480-367-7280
Practice Address - Fax:480-368-7278
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3702103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist