Provider Demographics
NPI:1043038037
Name:GLOVER, ERICA J (PHD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:J
Last Name:GLOVER
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:PO BOX 22251
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-0251
Mailing Address - Country:US
Mailing Address - Phone:330-475-4777
Mailing Address - Fax:
Practice Address - Street 1:2580 E 93RD ST STE 378
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-2408
Practice Address - Country:US
Practice Address - Phone:330-475-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care