Organization
NEUROSCIENCE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI ERICKSON MD (OWNER)
(561) 808-7205
Entity
Organization
Contact information
Practice address
4800 LINTON BLVD, SUITE D502A, DELRAY BEACH, FL 33445-6584
(561) 808-7205
(561) 584-6804
Mailing address
4800 LINTON BLVD, SUITE D502A, DELRAY BEACH, FL 33445-6584
(561) 808-7205
(561) 584-6804
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
ME115146
FL
2084P0800X
Psychiatry Physician
Primary
ME115146
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME115146
FL
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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