Healthcare Provider Details
I. General information
NPI: 1811037468
Provider Name (Legal Business Name): ERIKA MURRAY ZIPF-WILLIAMS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2007
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
375 LAGUNA HONDA BLVD LAGUNA HONDA HOSPITAL AND REHAB CENTER, MEDICAL SVCS
SAN FRANCISCO CA
94116-1411
US
IV. Provider business mailing address
375 LAGUNA HONDA BLVD LAGUNA HONDA HOSPITAL AND REHAB CENTER, MEDICAL SVCS
SAN FRANCISCO CA
94116-1411
US
V. Phone/Fax
- Phone: 415-759-2300
- Fax: 415-759-4587
- Phone: 415-759-2300
- Fax: 415-759-2374
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | PSY14863 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY14863 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TR0400X |
| Taxonomy | Rehabilitation Psychologist |
| License Number | PSY14863 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: