Individual
ERICA ECCLES-RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5625 CENEX DR, MAIL STOP 33100A, INVER GROVE HEIGHTS, MN 55077-1724
(651) 552-2600
(651) 552-2614
Mailing address
8170 33RD AVE S - PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 552-2600
(651) 552-2614
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 5562
MN
Other
Enumeration date
10/26/2007
Last updated
03/19/2015
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