Individual
DR. ROBERT CHARLES ERICSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6463 4TH ST NW, STE. C, LOS RANCHOS DE ALBUQUERQUE, NM 87107-5810
(505) 344-9500
(505) 342-1084
Mailing address
6463 4TH ST., NW, STE. C, LOS RANCHOS DE ALBUQUERQUE, NM 87107
(505) 344-9500
(505) 342-1084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
239
NM
Other
Enumeration date
07/27/2006
Last updated
01/29/2008
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