National Provider Identifier

Erica Janelle Shaver

Erica Janelle Shaver is listed in the NPPES registry with a primary specialty of Specialist in Orchard Park, NY and a listed phone number of (716) 662-4800.

NPI 1467714360Orchard Park, NYSpecialist

Profile Overview

NPI
1467714360
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 15, 2012
Last Updated
June 15, 2012

Practice Location

  • 6167 W Quaker St
  • Orchard Park, NY 14127-2640

Phone: (716) 662-4800

Mailing Address

  • 6167 West Quaker Street
  • Therapeutic Link For Children
  • Orchard Park, NY 14127

Specialties

  • Specialist (174400000X)
Full Record
NPI
1467714360
Entity Type
Individual
Last Name
Shaver
First Name
Erica
Middle Name
Janelle
Name Prefix
Mrs.
Mailing Street Address
6167 West Quaker Street
Mailing Address Line 2
Therapeutic Link For Children
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 662-4800
Mailing Fax
(716) 662-5700
Practice Street Address
6167 W Quaker St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2640
Practice Country
US
Practice Phone
(716) 662-4800
Enumeration Date
June 15, 2012
Last Updated
June 15, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)