Individual
MS. ERICKA CARLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 842-8214
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 842-8214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133169
—
AZ
Enumeration date
02/13/2007
Last updated
07/26/2007
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