Organization
PATMOS HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ERISMAN PSYD (PRESIDENT)
(816) 516-7114
Entity
Organization
Contact information
Practice address
10151 UNIVERSITY BLVD, ORLANDO, FL 32817-1904
(816) 516-7114
(816) 761-1899
Mailing address
2900 SW 13TH ST, LEES SUMMIT, MO 64081-3800
(816) 516-7114
(816) 761-1899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
05/17/2012
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