Provider Demographics
NPI:1861954794
Name:HATRICK, ERICA LYNN (MAAT, ATR, LPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:HATRICK
Suffix:
Gender:F
Credentials:MAAT, ATR, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 MERWIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3821
Mailing Address - Country:US
Mailing Address - Phone:203-623-7757
Mailing Address - Fax:
Practice Address - Street 1:4 OXFORD RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3855
Practice Address - Country:US
Practice Address - Phone:203-623-7757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3719101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional