Provider Demographics
NPI:1588275622
Name:WILEY, ERICA (PHD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:WILEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 HIGHLANDON CT
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-4356
Mailing Address - Country:US
Mailing Address - Phone:814-935-9760
Mailing Address - Fax:
Practice Address - Street 1:474 WINDMERE DR STE 301
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7651
Practice Address - Country:US
Practice Address - Phone:814-208-9250
Practice Address - Fax:814-208-9108
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling