Individual
STEPHANIE ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4262
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008377
IL
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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