Individual
DR. RANDI L ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D LP
Contact information
Practice address
2910 ENLOE ST, HUDSON, WI 54016-8166
(715) 377-0000
(715) 377-0000
Mailing address
2910 ENLOE ST, HUDSON, WI 54016-8166
(715) 377-0000
(715) 377-0000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2265057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39147000
—
WI
Enumeration date
09/11/2006
Last updated
07/08/2007
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