Provider Demographics
NPI:1982649406
Name:CARY, ERICA LENNON (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:LENNON
Last Name:CARY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:LENNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:9465 BRADFORD PEAR LN NW APT 2301
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-3738
Mailing Address - Country:US
Mailing Address - Phone:919-673-7948
Mailing Address - Fax:
Practice Address - Street 1:9465 BRADFORD PEAR LN NW APT 2301
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-3738
Practice Address - Country:US
Practice Address - Phone:919-673-7948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4052103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY184607OtherMEDICARE GROUP NUMBER