Individual
DR. DAVID GERALD ERICKSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1414 E 4500 S, SUITE 4, SALT LAKE CITY, UT 84117-4228
(801) 272-8957
(801) 272-3724
Mailing address
1414 E 4500 S, SUITE 4, SALT LAKE CITY, UT 84117-4228
(801) 272-8957
(801) 272-3724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
113012-2501
UT
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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