Robert Ericson, PHD
NPI #1700069796 in Los Ranchos De Albuquerque, New Mexico
Provider Information
- NPI Number
- 1700069796
- Entity Type
- Organization
- Organization Name
- Robert Ericson, PHD
- Primary Specialty
- Psychologist - Cognitive & Behavioral
- Enumeration Date
- Dec 12, 2007
- Last Updated
- Aug 5, 2008
Practice Location
- Address
- 6463 4TH ST NW
- Address 2
- SUITE C
- State
- New Mexico
- ZIP Code
- 87107-5810
- Phone
- (505) 344-9500
Authorized Official
- Name
- DR. ROBERT CHARLES ERICSON, PHD
- Title
- PRESIDENT
- Phone
- (505) 242-6672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
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