Individual
JOHN RAYMOND ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 S ALLEN ST, SUITE 421, STATE COLLEGE, PA 16801-4849
(814) 466-2133
(814) 826-2585
Mailing address
315 S ALLEN ST, SUITE 421, STATE COLLEGE, PA 16801-4849
(814) 466-2133
(814) 826-2585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007918L
PA
Other
Enumeration date
08/16/2005
Last updated
12/20/2016
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