Individual
DR. AUSTIN LOUIS ERRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
45 CUNNINGHAM RD, FREEPORT, ME 04032-6312
(207) 809-9007
(207) 865-9910
Mailing address
45 CUNNINGHAM RD, FREEPORT, ME 04032-6312
(207) 809-9007
(207) 865-9910
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS970
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043837
BLUE CROSS BLUE SHIELD
NH
05
—
30423759
—
NH
Enumeration date
06/20/2007
Last updated
04/30/2013
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