DR. Kirk Wayne Erickson, PSY.D.

NPI #1629346853 in Long Grove, Illinois

Provider Information

NPI Number: 1629346853
Entity Type: Individual
Name: DR. Kirk Wayne Erickson, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Dec 2, 2011
Last Updated: Dec 2, 2011

Practice Location

Address: 4160 ROUTE 83
Address 2: SUITE 204
City: Long Grove
State: Illinois
ZIP Code: 60047-5083
Phone: (847) 604-0734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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Organizations

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