Individual
LUKE W ERICHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1380 PROGRESS WAY STE 101, ELDERSBURG, MD 21784-6498
(301) 829-2242
(301) 829-2290
Mailing address
1380 PROGRESS WAY STE 101, ELDERSBURG, MD 21784-6498
(301) 829-2242
(301) 829-2290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05915
MD
103TS0200X
School Psychologist
05915
MD
Other
Enumeration date
06/12/2018
Last updated
11/29/2018
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