Individual
DR. KRISTINA LUELLA RICE ERSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15110 S VALLEY CHAPEL RD, VALLEYFORD, WA 99036-9768
(509) 714-2662
Mailing address
15110 S VALLEY CHAPEL RD, VALLEYFORD, WA 99036-9768
(509) 714-2662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004387
IL
Other
Enumeration date
11/13/2007
Last updated
06/27/2008
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