Provider Demographics
NPI:1992920979
Name:D'ERRICO, MARIA G (PHD,JD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:G
Last Name:D'ERRICO
Suffix:
Gender:F
Credentials:PHD,JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 NATHAN CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3430
Mailing Address - Country:US
Mailing Address - Phone:215-968-5178
Mailing Address - Fax:
Practice Address - Street 1:1703 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 5
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1082
Practice Address - Country:US
Practice Address - Phone:215-504-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007278-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical