Provider Demographics
NPI:1588188551
Name:BUCCI, ERICA B (ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:B
Last Name:BUCCI
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 N BETHLEHEM PIKE STE 203-1
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2186
Mailing Address - Country:US
Mailing Address - Phone:484-531-4148
Mailing Address - Fax:
Practice Address - Street 1:1018 N BETHLEHEM PIKE STE 203-1
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2186
Practice Address - Country:US
Practice Address - Phone:484-531-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional